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Active NPI 1124006762 Individual Practitioner Male Practitioner

Scott B Johnson , PA-C

Physician Assistant • Waverly, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Johnson, PA-C is a certified Physician Assistant practicing in Waverly, IA. With approximately 38 years of clinical experience since completing medical education in 1988, Scott Johnson delivers high-quality medical care to the local community at 312 9TH ST SW.

Scott Johnson is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, detection test by immunoassay with direct visual observation for streptococcus, group a (strep). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

312 9th St Sw
Suite 1200

Waverly, IA 506772929

Telephone 3193524340
Fax 3193520745
Associated Practice Facility / Clinic
🏢 Waverly Health Center Facility NPI 1326027988

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waverly, IA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +20.5 yrs vs City Avg
City Avg: 17.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Waverly, IA (1543 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (38 Years) 38 Yrs
Waverly Specialty Average (17.5 Years) 17.5 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
428 339 $169.01 $71.12
81003 Automated urinalysis test
82 66 $6.00 $2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
19 19 $42.00 $16.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 000750

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

2160 Logan Ave, Waterloo, IA 507031006

Phone: 3192265860

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221637

Phone: 5637425950

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. David Rathe , DO

Internal Medicine

NPI 1316926082

Doctor of Osteopathic Medicine (D.O.)

NPI 1508066721

Doctor of Osteopathic Medicine (D.O.)

Debra Lodge

Nurse Practitioner - Family

NPI 1619392438
Dr. Jason Gipson , MD

Family Medicine

NPI 1740439769

Doctor of Medicine (M.D.)

Heidi Prose , ARNP

Nurse Practitioner

NPI 1831484898

Advanced Registered Nurse Practitioner

NPI 1851378970

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 November 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2007

Registered at 312 9TH ST SW, SUITE 1200, WAVERLY, IA 506772929 (Tel: 3193524340)

📍
Updated Business Mailing Address November 02, 2007

Registered at 312 9TH ST SW, SUITE 1200, WAVERLY, IA 506772929 (Tel: 3193524340)

👤
Provider Name / Credentials Updated November 02, 2007

Recorded as SCOTT JOHNSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Physician Assistant (License #000750 in IA)

🟢
Initial NPI Registration & Enumeration January 04, 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: 1124006762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: November 02, 2007
Sole Proprietor: No

Mailing Address

312 9th St Sw, Suite 1200

Waverly, IA 506772929

Phone: 3193524340

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.