Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881824647 Individual Practitioner Male Practitioner

Dr. Matthew David Johnson , MD

Otolaryngology • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Johnson, MD is a certified Otolaryngology practicing in Springfield, IL. With approximately 17 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2009, Dr. Johnson delivers high-quality medical care to the local community at 720 N BOND ST.

Dr. Johnson is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

720 N Bond St

Springfield, IL 627024952

Telephone 2175458000
Fax 2175456544
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -0.9 yrs vs City Avg
City Avg: 17.9 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Springfield, IL (502 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (17 Years) 17 Yrs
Springfield Specialty Average (17.9 Years) 17.9 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $160.00 $53.45

Medical Specialties & State Licenses

CMS Verified: 2024-09-25
Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License IL 036-139255

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036139255 (IL)

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 25, 2024

Registered at 720 N BOND ST, SPRINGFIELD, IL 627024952 (Tel: 2175458000)

📍
Updated Business Mailing Address September 25, 2024

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

NPI Profile Active November 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2015

Registered at 747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍
Updated Business Mailing Address November 25, 2015

Registered at 747 N RUTLEDGE ST, PO BOX 19638, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

👤
Provider Name / Credentials Updated November 25, 2015

Recorded as MATTHEW JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2015

Otolaryngology (License #036-139255 in IL)

🟢
Initial NPI Registration & Enumeration July 15, 2009

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: 1881824647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2009
Last Update: September 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

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.