Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013960269 Individual Practitioner Male Practitioner

Dr. Greg R Johnson , DO

Internal Medicine - Nephrology • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Greg Johnson, DO is a registered healthcare professional specializing in Internal Medicine - Nephrology in Fort Wayne, IN. Practice services are available at 3909 NEW VISION DR under active NPI credentials.

Frequently performed procedures and clinical services include 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

3909 New Vision Dr

Fort Wayne, IN 468451725

Telephone 2604696602
Fax 2609693065
Associated Practice Facility / Clinic
🏢 Parkview Health System Inc Facility NPI 1932130952

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.1 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
28 Specialists

Practicing in Fort Wayne, IN (273 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.5% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
17 11 $120.00 $86.99

Medical Specialties & State Licenses

CMS Verified: 2022-12-21
Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IN 02001531A

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200015220 (IN)
Commercial Insurance / Payer ID Anthem
000000675115 (IN)
Commercial Insurance / Payer ID R.r. Medicare
P00895098 (IN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Debra Lammers , PA-C

Physician Assistant

NPI 1003898933

Physician Assistant (Certified)

Dr. Gregory Chupp , MD

Family Medicine

NPI 1003992025

Doctor of Medicine (M.D.)

Dr. Benjamin Moreno , MD, PhD

Radiology - Diagnostic Radiology

NPI 1013163526

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kara Yackee

Nurse Practitioner

NPI 1013307131
Dr. Mary O'brien , MD

Family Medicine

NPI 1013902162

Doctor of Medicine (M.D.)

NPI 1033312442

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 21, 2022

Registered at 3909 NEW VISION DR, FORT WAYNE, IN 468451725 (Tel: 2604696602)

📍
Updated Business Mailing Address December 21, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2022

Internal Medicine (License #02001531A in IN)

NPI Profile Active March 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2013

Registered at 1900 CAREW STREET, SUITE 3A, FORT WAYNE, IN 468054765 (Tel: 2603739919)

📍
Updated Business Mailing Address March 23, 2013

Registered at 1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 468251545 (Tel: 2603739700)

👤
Provider Name / Credentials Updated March 23, 2013

Recorded as GREG JOHNSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2013

Internal Medicine (License #02001531 in IN)

🟢
Initial NPI Registration & Enumeration May 18, 2006

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: 1013960269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2006
Last Update: December 21, 2022
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.