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Active NPI 1588692503 Individual Practitioner Male Practitioner

Dr. Jody Michael Johnson , DO

Surgery • Prestonsburg, KY

Professional Overview & Biography Verified Profile Summary

Dr. Jody Johnson, DO is a registered healthcare professional specializing in Surgery in Prestonsburg, KY. Practice services are available at 5000 KY ROUTE 321 under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit, new 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

5000 Ky Route 321
Suite 3141

Prestonsburg, KY 41653

Telephone 6068896240
Fax 6068869908
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Prestonsburg, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Prestonsburg, KY (495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.6% 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
17 17 $367.35 $196.14

Medical Specialties & State Licenses

CMS Verified: 2021-01-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 02979

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.

Family Medicine - Addiction Medicine

NUCC Taxonomy Code: 207QA0401X

State License KY 02979

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64121213 (KY)

Secondary Practice Locations

804 East Main Street

Ville Platte, LA 70586

Phone: 3373365040

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1235577628

Doctor of Medicine (M.D.)

Dr. Jason Castle , MD

Family Medicine

NPI 1497910111

Doctor of Medicine (M.D.)

Dr. Dustin Devers , DO

Family Medicine

NPI 1699989640

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 27, 2018

Registered at 5000 KY ROUTE 321, SUITE 3141, PRESTONSBURG, KY 41653 (Tel: 6068896240)

NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2017

Registered at 5000 KY ROUTE 321, SUITE 3141, PRESTONSBURG, KY 416539113 (Tel: 6068896240)

📍
Updated Business Mailing Address July 14, 2017

Registered at PO BOX 1239, PRESTONSBURG, KY 416535239 (Tel: 6068896240)

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as JODY JOHNSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Family Medicine (License #02979 in KY)

NPI Profile Active January 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2016

Registered at 5000 KY ROUTE 321, SUITE 3141, PRESTONSBURG, KY 416539113 (Tel: 6068896240)

📍
Updated Business Mailing Address January 11, 2016

Registered at PO BOX 1239, PRESTONSBURG, KY 416535239 (Tel: 6068896240)

👤
Provider Name / Credentials Updated January 11, 2016

Recorded as JODY JOHNSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2016

Family Medicine (License #02979 in KY)

🟢
Initial NPI Registration & Enumeration June 29, 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: 1588692503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: February 03, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 1239

Prestonsburg, KY 416535239

Phone: 6068896240

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.