Active NPI 1275525701 Individual Practitioner Male Practitioner

Dr. Carl R Johnson , MD

Internal Medicine • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Carl Johnson, MD is a registered healthcare professional specializing in Internal Medicine in Mattoon, IL. Practice services are available at 500 HEALTH CENTER DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Health Center Dr
Suite 104

Mattoon, IL 619389258

Telephone 2172584080

Fax 2172584084

Associated Practice Facility / Clinic

🏢 Urology Associates, S.c. Facility NPI 1427066018

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mattoon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

22 Specialists

Practicing in Mattoon, IL (7544 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	43	$138.00	$65.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	17	$156.00	$68.68
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$110.00	$67.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$148.00	$100.27
99238 Hospital discharge day management, 30 minutes or less	11	11	$180.00	$68.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	622	233	$110.00	$68.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	569	233	$148.00	$100.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	551	92	$138.20	$65.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	459	129	$156.00	$68.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	162	118	$453.00	$193.42
99238 Hospital discharge day management, 30 minutes or less	147	109	$180.00	$68.51
G0008 Administration of influenza virus vaccine	117	116	$35.00	$23.77
90662 Influenza vaccine split virus, preservative free	108	107	$46.00	$44.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	38	$299.00	$99.23
J0696 Injection, ceftriaxone sodium, per 250 mg	77	15	$18.00	$0.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	68	41	$248.00	$86.14
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	66	57	$254.00	$123.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	31	$35.00	$23.16
J1040 Injection, methylprednisolone acetate, 80 mg	43	21	$49.19	$10.79
99219 Hospital observation care, typically 50 minutes	38	34	$330.00	$129.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	29	$79.00	$38.11
99318 Nursing facility annual assessment, typically 30 minutes	29	29	$248.00	$93.16
81000 Manual urinalysis test with examination using microscope, non-automated	29	19	$39.00	$4.26
99217 Hospital observation care on day of discharge	28	23	$179.00	$68.95
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	27	15	$92.00	$57.31
99225 Subsequent observation care, typically 25 minutes per day	23	15	$156.00	$69.27
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$92.00	$15.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$148.00	$106.69
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$36.00	$17.48

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036057126

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036057126 (IL)

Commercial Insurance / Payer ID Personalcare Hmo

170490 (IL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0001520105 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. William Bogard , MD

Psychologist

NPI 1417130634

Doctor of Medicine (M.D.)

Dr. Roger Rives , MD

Urology

NPI 1861416372

Doctor of Medicine (M.D.)

Dr. Gaylin Lack , MD

Orthopaedic Surgery

NPI 1881700714

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2015

Registered at 500 HEALTH CENTER DR, SUITE 104, MATTOON, IL 619389258 (Tel: 2172584080)

📍

Updated Business Mailing Address January 27, 2015

Registered at PO BOX 372, MATTOON, IL 619380372 (Tel: 2172584080)

👤

Provider Name / Credentials Updated January 27, 2015

Recorded as CARL JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2015

Internal Medicine (License #036057126 in IL)

🟢

Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275525701

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 19, 2005

Last Update: January 27, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 372

Mattoon, IL 619380372

Phone: 2172584080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.