Active NPI 1558740803 Individual Practitioner Male Practitioner

Samuel Johnson

Physician Assistant • Stillwater, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Johnson is a certified Physician Assistant practicing in Stillwater, MN. With approximately 11 years of clinical experience since completing medical education in 2015, Samuel Johnson delivers high-quality medical care to the local community at 1500 CURVE CREST BLVD W.

Samuel Johnson maintains professional affiliations with Group Health Plan Inc, Amery Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Curve Crest Blvd W

Stillwater, MN 550826040

Telephone 6514391234

Associated Practice Facility / Clinic

🏢 Stillwater Medical Group Facility NPI 1558350488

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Stillwater, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +0.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

49 Specialists

Practicing in Stillwater, MN (4026 Statewide)

Telehealth Adoption Rate

22.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (11 Years) 11 Yrs

Stillwater Specialty Average (10.6 Years) 10.6 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	191	177	$287.30	$74.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	66	$406.30	$103.68
71046 X-ray of chest, 2 views	46	46	$127.00	$28.13
36415 Insertion of needle into vein for collection of blood sample	29	29	$21.50	$8.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$357.00	$90.69
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	18	18	$25.50	$6.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	283	266	$265.20	$75.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	103	$374.00	$106.18
71046 X-ray of chest, 2 views	58	58	$117.00	$29.08
36415 Insertion of needle into vein for collection of blood sample	51	50	$21.00	$8.40
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$52.70	$12.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$328.10	$93.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$527.00	$150.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	345	315	$248.25	$75.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	118	$352.00	$107.07
36415 Insertion of needle into vein for collection of blood sample	55	54	$21.00	$2.90
71046 X-ray of chest, 2 views	51	49	$108.00	$29.24
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$50.25	$12.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$491.25	$152.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	88	$202.30	$75.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$294.10	$108.01
81001 Manual urinalysis test with examination using microscope, automated	32	26	$12.00	$3.17
36415 Insertion of needle into vein for collection of blood sample	19	18	$20.00	$2.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$290.70	$94.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	96	$190.40	$63.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$277.95	$93.18
81001 Manual urinalysis test with examination using microscope, automated	13	12	$12.00	$3.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	110	$178.78	$62.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$263.50	$92.19
81001 Manual urinalysis test with examination using microscope, automated	24	21	$37.00	$3.45
36415 Insertion of needle into vein for collection of blood sample	20	20	$25.00	$2.79
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	19	$34.00	$8.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	123	$207.00	$60.63
36415 Insertion of needle into vein for collection of blood sample	23	23	$24.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	22	$33.00	$9.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$304.00	$86.95
71046 X-ray of chest, 2 views	16	16	$109.00	$24.64
81001 Manual urinalysis test with examination using microscope, automated	13	13	$36.00	$3.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	87	$204.00	$60.24
36415 Insertion of needle into vein for collection of blood sample	34	34	$24.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	30	$33.00	$10.45
71020 X-ray of chest, 2 views, front and side	22	22	$95.00	$23.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$301.00	$89.85
81001 Manual urinalysis test with examination using microscope, automated	19	18	$36.00	$4.04
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$209.00	$60.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$121.00	$36.56

Medical Specialties & State Licenses

CMS Verified: 2023-08-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 2266

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WI 7270

Hospital & Practice Group Affiliations

Group Health Plan Inc

411 Stageline Rd, Hudson, WI 540167848

Phone: 7155316700

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

744 E Louisiana St, Saint Croix Falls, WI 540249501

Phone: 8665446741

Amery Regional Medical Center Inc

265 Griffin E St, Amery, WI 540011439

Phone: 7152688000

Group Health Plan Inc

405 Stageline Rd, Hudson, WI 540167848

Phone: 6512651999

Group Health Plan Inc

403 Stageline Rd, Hudson, WI 540167848

Phone: 7155316700

Group Health Plan Inc

2500 Como Ave, Saint Paul, MN 551081460

Phone: 6516410020

Group Health Plan Inc

1500 Curve Crest W Blvd, Stillwater, MN 550826040

Phone: 6514391234

Amery Regional Medical Center Inc

265 Griffin St E, Amery, WI 540011439

Phone: 7152688000

Secondary Practice Locations

535 Hospital Rd

New Richmond, WI 540171449

Phone: 7152432600

8450 Seasons Pkwy

Woodbury, MN 551254402

Phone: 9528538800

205 Wabasha St S

Saint Paul, MN 551071805

Phone: 9528538800

2500 Como Ave

Saint Paul, MN 551081460

Phone: 9528538800

3930 Northwoods Dr

Arden Hills, MN 551126963

Phone: 9528538800

15290 Pennock Ln

Apple Valley, MN 551247163

Phone: 9528538800

2901 Metro Drive, Suite 527

Bloomington, MN 55122

Phone: 9528835881

265 Griffin St E

Amery, WI 540011439

Phone: 7152688000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Anika Phillips , RN, CNM

Advanced Practice Midwife

NPI 1003132440

Registered Nurse, Certified Nurse Midwife

Alison Gardner , PA-C

Physician Assistant

NPI 1003215542

Physician Assistant (Certified)

Katelyn Stahnke , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003261900

Certified Athletic Trainer

Dr. Stephen Scallon , MD

Pediatrics

NPI 1003899089

Doctor of Medicine (M.D.)

Dr. Eric Meinberg , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1023060993

Doctor of Medicine (M.D.)

Dr. Julie Becker , MD

Obstetrics & Gynecology

NPI 1023077625

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location August 17, 2023

Registered at 1500 CURVE CREST BLVD W, STILLWATER, MN 550826040 (Tel: 6514391234)

✅

NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2015

Registered at 2901 METRO DRIVE, SUITE 527, BLOOMINGTON, MN 55122 (Tel: 9528835881)

📍

Updated Business Mailing Address May 20, 2015

Registered at N2497 STATE ROAD 58, MAUSTON, WI 53948 (Tel: 6782003731)

👤

Provider Name / Credentials Updated May 20, 2015

Recorded as SAMUEL JOHNSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Physician Assistant (License #2266 in MN)

🟢

Initial NPI Registration & Enumeration May 20, 2015

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: 1558740803

Entity Type:

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

Enumeration Date: May 20, 2015

Last Update: August 17, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

N2497 State Road 58

Mauston, WI 53948

Phone: 6782003731

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.