Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164418943 Individual Practitioner Male Practitioner

Dr. Andrew Robert Johnson , MD

Surgery • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Johnson, MD is a certified Surgery practicing in Mount Vernon, IL. With approximately 28 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 1998, Dr. Johnson delivers high-quality medical care to the local community at 4218 LINCOLNSHIRE DR.

Dr. Johnson is affiliated with Saint Lukes Hospital Of Chillicothe and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4218 Lincolnshire Dr

Mount Vernon, IL 628642156

Telephone 6182428480
Fax 6182428499
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Vernon, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +5.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Mount Vernon, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (28 Years) 28 Yrs
Mount Vernon Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
31 15 $168.00 $77.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $444.94 $161.46

Medical Specialties & State Licenses

CMS Verified: 2022-10-11
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036121708

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MS 28808

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036121708 (IL)

Hospital & Practice Group Affiliations

Saint Lukes Hospital Of Chillicothe

2791 N Washington St, Chillicothe, MO 646012902

Phone: 8166461480

Saint Lukes Hospital Of Chillicothe

2791 N Washington St, Chillicothe, MO 646012902

Phone: 8166461480

Saint Lukes Hospital Of Chillicothe

2799 N Washington St, Chillicothe, MO 646012902

Phone: 6606461480

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1144226085

Doctor of Medicine (M.D.)

NPI 1679579510

Doctor of Medicine (M.D.)

NPI 1801892757

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2022

Surgery (License #28808 in MS)

NPI Profile Active February 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2009

Registered at 4218 LINCOLNSHIRE DR, MOUNT VERNON, IL 628642156 (Tel: 6182428480)

📍
Updated Business Mailing Address February 03, 2009

Registered at 4218 LINCOLNSHIRE DR, PO BOX 968, MOUNT VERNON, IL 628642156 (Tel: 6182428480)

👤
Provider Name / Credentials Updated February 03, 2009

Recorded as ANDREW JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2009

Surgery (License #036121708 in IL)

🟢
Initial NPI Registration & Enumeration September 27, 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: 1164418943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2005
Last Update: October 11, 2022
Sole Proprietor: No

Mailing Address

4218 Lincolnshire Dr, Po Box 968

Mount Vernon, IL 628642156

Phone: 6182428480

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.