Active NPI 1659476182 Individual Practitioner Male Practitioner

Dr. Thomas W Johnson , MD

Surgery • Southbridge, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Johnson, MD is a certified Surgery practicing in Southbridge, MA. With approximately 30 years of clinical experience since graduating from Medical College Of Pennsylvania in 1996, Dr. Johnson delivers high-quality medical care to the local community at 100 SOUTH ST.

Dr. Johnson is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, 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

100 South St
Suite 108

Southbridge, MA 015504051

Telephone 5087646966

Fax 5087642457

Associated Practice Facility / Clinic

🏢 Hugh M. Cooper Md Pc Facility NPI 1881680874

Medicare Profile & Education

Medical School

Medical College Of Pennsylvania

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Southbridge, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -4.3 yrs vs City Avg

City Avg: 34.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Southbridge, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (30 Years) 30 Yrs

Southbridge Specialty Average (34.3 Years) 34.3 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	29	$158.00	$49.66
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$300.00	$83.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	25	$178.00	$50.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$359.00	$114.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$450.00	$131.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$224.73	$73.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	22	$114.50	$50.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	25	$151.77	$57.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$409.38	$132.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$212.00	$80.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$1124.00	$94.56
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$286.71	$93.38
45380 Biopsy of large bowel using an endoscope	11	11	$1324.91	$133.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	31	$100.00	$38.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	33	$138.27	$58.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	35	$400.00	$132.52
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$222.00	$76.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$1286.00	$261.53
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$994.00	$190.12
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$257.00	$102.33

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	55	31	$130.00	$59.11
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$222.00	$76.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	27	$400.00	$139.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	12	$100.00	$39.41
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$217.00	$95.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$320.00	$117.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1052.00	$77.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$209.53	$79.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	15	$124.33	$47.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$305.30	$113.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$99.45	$41.19
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$212.33	$80.25
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$252.82	$106.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$189.00	$76.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$278.00	$111.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$343.13	$141.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	17	$45.33	$26.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$113.00	$47.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$1052.00	$100.42
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$193.00	$79.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$182.53	$75.23
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$994.00	$191.01

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	110	44	$43.35	$25.50
97597 Removal of tissue from wound, 20.0 sq cm or less	41	13	$53.29	$23.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$278.00	$112.90
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$193.00	$77.13
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$189.00	$76.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	26	$348.00	$141.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$184.00	$75.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	15	$113.00	$46.10
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$83.45	$51.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$278.00	$107.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1052.00	$104.59
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$994.00	$200.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$124.31	$76.98

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	64	31	$43.00	$23.99
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$193.00	$75.20
97597 Removal of tissue from wound, 20.0 sq cm or less	38	16	$53.00	$21.94
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$189.17	$73.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$348.00	$135.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$184.00	$71.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$278.00	$108.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$113.00	$43.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1052.00	$107.02

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 216119

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.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

100 S St, Southbridge, MA 015504051

Phone: 5087659771

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Konstantino Avradopoulos , MD

Surgery

NPI 1154390995

Doctor of Medicine (M.D.)

Dr. Evan Provisor , MD

Surgery

NPI 1366427429

Doctor of Medicine (M.D.)

Dr. Harry Easterly , MD

Surgery

NPI 1477567212

Doctor of Medicine (M.D.)

Dr. Warren Rose , MD

Surgery

NPI 1538148218

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 September 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2015

Registered at 100 SOUTH ST, SUITE 108, SOUTHBRIDGE, MA 015504051 (Tel: 5087646966)

📍

Updated Business Mailing Address September 30, 2015

Registered at PO BOX 40, SOUTHBRIDGE, MA 015500040 (Tel: 5089097799)

👤

Provider Name / Credentials Updated September 30, 2015

Recorded as THOMAS JOHNSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2015

Surgery (License #216119 in MA)

🟢

Initial NPI Registration & Enumeration September 13, 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: 1659476182

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 13, 2006

Last Update: September 30, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 40

Southbridge, MA 015500040

Phone: 5089097799

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.