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Deactivated NPI 1528259801 Deactivated / Inactive NPI Male Practitioner

Dr. James Otto Johnson , MD

Surgery • Vincennes, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2007
NPI Deactivation Date November 25, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. James Johnson, MD was a registered Surgery practicing in Vincennes, IN. Throughout an active medical career spanning 13 years, Dr. Johnson provided care at the practice location at 520 S 7TH ST until profile deactivation on 2020-11-25.

Historical Medicare Part B clinical services included colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

520 S 7th St

Vincennes, IN 475911038

Telephone 8128853280
Fax 8128853459
Associated Practice Facility / Clinic
🏢 Good Samaritan Hospital Facility NPI 1225032881

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Vincennes, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Vincennes, IN (657 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.7% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
46 46 $948.00 $180.07
99213 Established patient office or other outpatient visit, typically 15 minutes
29 26 $185.00 $72.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
29 29 $950.00 $89.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
26 26 $230.00 $103.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes
25 18 $96.00 $38.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 20 $91.00 $43.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $230.00 $74.10
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $185.00 $50.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 12 $232.00 $104.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $91.00 $25.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
12 11 $178.00 $70.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
11 11 $1135.00 $252.42

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01063911A

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1508056110

Doctor of Osteopathic Medicine (D.O.)

NPI 1508152554

Doctor of Osteopathic Medicine (D.O.)

NPI 1538554001

Doctor of Medicine (M.D.)

NPI 1568542769

Doctor of Medicine (M.D.)

NPI 1720252661
Melissa Lough , FNP-C

Nurse Practitioner - Family

NPI 1902315104

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated November 25, 2020

Record deactivated on November 25, 2020

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Updated Practice Location June 18, 2018

Registered at 575 HILL COUNTRY DR, KERRVILLE, TX 78028 (Tel: 8302587762)

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Updated Business Mailing Address June 18, 2018

Registered at 575 HILL COUNTRY DR, KERRVILLE, TX 780286024 (Tel: 8302587762)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Surgery (License #N8668 in TX)

NPI Profile Active March 19, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2014

Registered at 520 S 7TH ST, VINCENNES, IN 475911038 (Tel: 8128853280)

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Updated Business Mailing Address March 19, 2014

Registered at 520 S 7TH ST, VINCENNES, IN 475911038 (Tel: 8128853280)

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Provider Name / Credentials Updated March 19, 2014

Recorded as JAMES JOHNSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2014

Surgery (License #01063911A in IN)

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Initial NPI Registration & Enumeration August 05, 2007

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: 1528259801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: March 19, 2014
Deactivation Date: November 25, 2020

Mailing Address

520 S 7th St

Vincennes, IN 475911038

Phone: 8128853280

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.