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Active NPI 1982908075 Individual Practitioner Female Practitioner

Breena Marie Johnson , PA-C

Physician Assistant - Surgical • Petoskey, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Breena Johnson, PA-C is a certified Physician Assistant - Surgical practicing in Petoskey, MI. With approximately 16 years of clinical experience since completing medical education in 2010, Breena Johnson delivers high-quality medical care to the local community at 416 CONNABLE AVE.

Breena Johnson is affiliated with The Center For Plastic Surgery Of Northern Michigan and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

416 Connable Ave

Petoskey, MI 497702212

Telephone 2313304235
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Petoskey, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +0.3 yrs vs City Avg
City Avg: 15.7 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Petoskey, MI (329 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (16 Years) 16 Yrs
Petoskey Specialty Average (15.7 Years) 15.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $166.00 $86.07

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License MI 5601006233

Definition to come...

Hospital & Practice Group Affiliations

The Center For Plastic Surgery Of Northern Michigan

4110 Copper Ridge Dr, Traverse City, MI 496846721

Phone: 2319297700

Practice Associates & Co-Workers

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

40 Associated Practitioners
Keely Blosh , NP

Nurse Practitioner

NPI 1013438530

Nurse Practitioner

Dr. Gary Shaw , MD

Internal Medicine - Nephrology

NPI 1013921154

Doctor of Medicine (M.D.)

NPI 1033183637

Doctor of Medicine (M.D.)

Lynda Bartosh , RTRM, RPA

Radiology Practitioner Assistant

NPI 1033434261
NPI 1043311640

Doctor of Medicine (M.D.)

NPI 1053412619

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 January 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2014

Registered at 416 CONNABLE AVE, PETOSKEY, MI 497702212 (Tel: 2313304235)

📍
Updated Business Mailing Address January 10, 2014

Registered at 790 RED OAK WAY, PETOSKEY, MI 497702979

👤
Provider Name / Credentials Updated January 10, 2014

Recorded as BREENA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2014

Physician Assistant (License #5601006233 in MI)

🟢
Initial NPI Registration & Enumeration January 04, 2011

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: 1982908075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2011
Last Update: January 10, 2014
Sole Proprietor: No

Mailing Address

790 Red Oak Way

Petoskey, MI 497702979

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.