Active NPI 1205970365 Individual Practitioner Male Practitioner

Larry Dean Johnson , PA

Physician Assistant • Branson, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Larry Johnson, PA is a certified Physician Assistant practicing in Branson, MO. With approximately 31 years of clinical experience since completing medical education in 1995, Larry Johnson delivers high-quality medical care to the local community at 525 BRANSON LANDING BLVD.

Larry Johnson is affiliated with Skaggs Community Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 Branson Landing Blvd

Branson, MO 656162052

Telephone 4173488646

Fax 4173357529

Associated Practice Facility / Clinic

🏢 White River Anesthesia Associates, Inc Facility NPI 1013973296

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Branson, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +16.7 yrs vs City Avg

City Avg: 14.3 Yrs

State Avg: 10.3 Yrs

Regional Practice Density

29 Specialists

Practicing in Branson, MO (1802 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (31 Years) 31 Yrs

Branson Specialty Average (14.3 Years) 14.3 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
J1010 Injection, methylprednisolone acetate, 1 mg	1,200	15	$0.76	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	382	362	$148.83	$71.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	220	21	$2.83	$0.11
81003 Automated urinalysis test	73	70	$9.18	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	26	$59.85	$11.03
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	34	33	$126.00	$16.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$89.65	$43.82
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	12	$225.00	$68.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	390	$148.83	$71.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	184	19	$3.74	$0.12
81003 Automated urinalysis test	67	64	$9.18	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	25	$59.85	$11.01
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	44	44	$126.00	$16.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	43	43	$225.00	$34.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$89.65	$44.16
J1040 Injection, methylprednisolone acetate, 80 mg	18	18	$77.48	$11.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	438	416	$148.83	$71.39
J1100 Injection, dexamethasone sodium phosphate, 1 mg	182	20	$6.28	$0.12
81003 Automated urinalysis test	66	64	$9.18	$2.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	28	$59.85	$11.16
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	47	47	$225.00	$34.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	41	$89.65	$44.34
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	32	32	$225.00	$30.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$126.00	$16.28
J1040 Injection, methylprednisolone acetate, 80 mg	20	20	$123.25	$10.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	328	310	$148.83	$72.60
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	60	60	$225.00	$35.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg	54	11	$7.24	$0.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	48	$89.65	$44.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	20	$59.85	$11.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$224.38	$103.34
90471 Administration of 1 vaccine	13	13	$48.99	$13.12
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$133.12	$34.36
J1040 Injection, methylprednisolone acetate, 80 mg	12	11	$122.14	$10.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	209	$148.83	$60.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	58	$224.38	$87.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	13	$59.85	$11.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	430	396	$128.35	$58.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg	204	49	$2.53	$0.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	65	$46.36	$12.66
J0696 Injection, ceftriaxone sodium, per 250 mg	76	15	$5.92	$0.57
J1040 Injection, methylprednisolone acetate, 80 mg	52	49	$34.40	$10.82
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$24.47	$15.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$218.27	$84.84
81002 Urinalysis, manual test	12	12	$7.00	$3.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	311	$97.00	$57.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg	362	84	$1.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	145	109	$39.00	$15.78
J0696 Injection, ceftriaxone sodium, per 250 mg	121	27	$5.00	$0.62
J1040 Injection, methylprednisolone acetate, 80 mg	94	83	$7.00	$6.86
81002 Urinalysis, manual test	44	41	$7.00	$3.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$21.00	$16.22
36415 Insertion of needle into vein for collection of blood sample	18	18	$12.00	$2.94
99283 Emergency department visit with low level of medical decision making	16	16	$690.00	$50.10
99284 Emergency department visit with moderate level of medical decision making	15	15	$1308.00	$95.29
99285 Emergency department visit for life threatening or functioning severity	13	13	$1931.00	$140.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	449	361	$97.00	$56.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg	389	85	$1.00	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	146	104	$39.00	$19.17
J0696 Injection, ceftriaxone sodium, per 250 mg	130	29	$5.00	$0.64
J1040 Injection, methylprednisolone acetate, 80 mg	98	85	$7.00	$6.80
81002 Urinalysis, manual test	38	33	$7.00	$3.43
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$21.00	$12.11
36415 Insertion of needle into vein for collection of blood sample	21	21	$12.00	$2.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$21.00	$11.01

Medical Specialties & State Licenses

CMS Verified: 2021-05-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2018044339

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 AR PA-263

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ar Blue Cross

84690

Hospital & Practice Group Affiliations

Skaggs Community Hospital Association

525 Branson Landing Blvd, Branson, MO 656162152

Phone: 4173488646

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Lisa Requena , DO

Family Medicine

NPI 1164761946

Doctor of Osteopathic Medicine (D.O.)

Karen Oelke , APN

Nurse Practitioner - Family

NPI 1275510315

Advanced Practice Nurse

Dr. James Hutchison , MD

Family Medicine

NPI 1275546012

Doctor of Medicine (M.D.)

John Berg , PA-C

Physician Assistant

NPI 1467605444

Physician Assistant (Certified)

Kathryn Hackman , FNP

Nurse Practitioner - Family

NPI 1760491641

Family Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 26, 2021

Registered at 525 BRANSON LANDING BLVD, BRANSON, MO 656162052 (Tel: 4173488646)

📍

Updated Business Mailing Address May 26, 2021

Registered at PO BOX 802843, KANSAS CITY, MO 641802843 (Tel: 4172697241)

✅

NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2017

Registered at 620 NORTH MAIN, HARRISON, AR 726012911 (Tel: 8703652000)

📍

Updated Business Mailing Address July 20, 2017

Registered at PO BOX 650, BRANSON, MO 65615 (Tel: 4173357218)

👤

Provider Name / Credentials Updated July 20, 2017

Recorded as LARRY JOHNSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Physician Assistant (License #2004021594 in MO)

✅

NPI Profile Active December 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2013

Registered at 620 NORTH MAIN, HARRISON, AR 726012911 (Tel: 8703652000)

📍

Updated Business Mailing Address December 06, 2013

Registered at PO BOX 650, BRANSON, MO 65615 (Tel: 4173357218)

👤

Provider Name / Credentials Updated December 06, 2013

Recorded as LARRY JOHNSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2013

Physician Assistant (License #PA-263 in AR)

🟢

Initial NPI Registration & Enumeration February 20, 2007

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 Larry 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: 1205970365

Entity Type:

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

Enumeration Date: February 20, 2007

Last Update: May 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 802843

Kansas City, MO 641802843

Phone: 4172697241

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.