Active NPI 1215966528 Individual Practitioner Female Practitioner

Dr. Helene M Johnson , MD

General Practice • Niles, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Helene Johnson, MD is a certified General Practice practicing in Niles, MI. With approximately 55 years of clinical experience since graduating from University Of California, San Francisco School Of Medicine in 1971, Dr. Johnson delivers high-quality medical care to the local community at 42 N SAINT JOSEPH AVE.

Dr. Johnson is affiliated with Lakeland Medical Practices and accepts Medicare assignment.

Frequently performed procedures and clinical services include prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);, initial nursing facility visit, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

42 N Saint Joseph Ave
Suite 200

Niles, MI 491202203

Telephone 2696870808

Fax 2696870811

Associated Practice Facility / Clinic

🏢 Lakeland Medical Practices Facility NPI 1104145002

Medicare Profile & Education

Medical School

University Of California, San Francisco School Of Medicine

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Niles, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

55 Yrs Matches City Avg

City Avg: 55.0 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Niles, MI (445 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (55 Years) 55 Yrs

Niles Specialty Average (55.0 Years) 55.0 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
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	116	35	$61.53	$30.52
99306 Initial nursing facility visit, typically 45 minutes per day	35	34	$402.00	$182.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	32	21	$326.00	$153.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	458	81	$59.36	$29.84
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	76	41	$317.32	$149.31
99306 Initial nursing facility visit, typically 45 minutes per day	71	63	$389.54	$177.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	61	60	$377.98	$160.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	58	39	$307.33	$129.73
99356 Prolonged inpatient or observation hospital service, first hour	32	31	$209.31	$88.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	67	43	$300.75	$132.10
99306 Initial nursing facility visit, typically 45 minutes per day	51	51	$371.41	$163.44
99356 Prolonged inpatient or observation hospital service, first hour	13	12	$205.23	$89.83
99318 Nursing facility annual assessment, typically 30 minutes	12	12	$213.00	$93.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	126	64	$287.33	$133.81
99306 Initial nursing facility visit, typically 45 minutes per day	92	90	$352.59	$166.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	170	152	$339.60	$164.37
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	127	77	$275.86	$133.25
99356 Prolonged inpatient or observation hospital service, first hour	95	86	$186.66	$91.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	171	162	$250.19	$127.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	150	73	$131.60	$67.48
99306 Initial nursing facility visit, typically 45 minutes per day	15	15	$319.80	$163.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	165	149	$239.05	$126.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	124	66	$125.31	$67.02
99306 Initial nursing facility visit, typically 45 minutes per day	15	15	$305.00	$162.28

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301030791

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Php

01-31142 (MI)

Commercial Insurance / Payer ID Cigna

1013408 (MI)

Commercial Insurance / Payer ID Blue Cross

0101151112 (MI)

Hospital & Practice Group Affiliations

Lakeland Medical Practices

9625 Red Arrow Hwy, Bridgman, MI 491069559

Phone: 2694656050

Practice Associates & Co-Workers

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

12 Associated Practitioners

Laurie Gee , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1033442421

Nurse Practitioner

Elizabeth Zech , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1043225782

Nurse Practitioner

Dr. Kenneth Kaufmann , MD

Obstetrics & Gynecology

NPI 1083925119

Doctor of Medicine (M.D.)

Catherine Mcdonough , CNM

Advanced Practice Midwife

NPI 1144259201

Certified Nurse Midwife

Jennifer Layman Young , NP

Nurse Practitioner - Family

NPI 1164764155

Nurse Practitioner

Aubrey Tompkins , CNM

Advanced Practice Midwife

NPI 1447963889

Certified Nurse Midwife

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2013

Registered at 42 N SAINT JOSEPH AVE, SUITE 200, NILES, MI 491202203 (Tel: 2696870808)

📍

Updated Business Mailing Address October 21, 2013

Registered at 6416 DEANS HILL RD, BERRIEN CENTER, MI 491029750 (Tel: 2694717741)

👤

Provider Name / Credentials Updated October 21, 2013

Recorded as HELENE JOHNSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

General Practice (License #4301030791 in MI)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Helene Johnson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215966528

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6416 Deans Hill Rd

Berrien Center, MI 491029750

Phone: 2694717741

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.