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Active NPI 1679157630 Individual Practitioner Male Practitioner

Dr. Matthew Christopher Johnson , MD

Dermatology • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Johnson, MD is a certified Dermatology practicing in Fargo, ND. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Johnson delivers high-quality medical care to the local community at 4656 40TH AVE S STE 130.

Dr. Johnson is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4656 40th Ave S Ste 130

Fargo, ND 581044397

Telephone 7012348860
Associated Practice Facility / Clinic
🏢 Meritcare Medical Group Facility NPI 1689836975

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Fargo, ND

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -14.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Fargo, ND (38 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (5 Years) 5 Yrs
Fargo Specialty Average (19.4 Years) 19.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NC 2023-01305

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License ND 22670

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

4656 40th Ave S, Fargo, ND 581044397

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1205006897

Doctor of Medicine (M.D.)

NPI 1275734022

Doctor of Medicine (M.D.)

NPI 1316964273

Doctor of Medicine (M.D.)

Jennifer Blais , APRN, CNP

Nurse Practitioner

NPI 1326438649

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1427319912

Doctor of Medicine (M.D.)

Lauren Berg

Physician Assistant

NPI 1487306981

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location September 24, 2025

Registered at 4656 40TH AVE S STE 130, FARGO, ND 581044397 (Tel: 7012348860)

📍
Updated Business Mailing Address September 24, 2025

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Dermatology (License #22670 in ND)

📍
Updated Practice Location May 20, 2025

Registered at 4656 40TH AVE S, FARGO, ND 581044397 (Tel: 7012348860)

📍
Updated Business Mailing Address May 20, 2025

Registered at 4656 40TH AVE S, FARGO, ND 581044397 (Tel: 7012348860)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2025

Dermatology (License #2023-01305 in NC)

📍
Updated Practice Location June 19, 2022

Registered at 4618 COUNTRY CLUB RD, WINSTON SALEM, NC 271043520 (Tel: 3367163926)

📍
Updated Business Mailing Address June 19, 2022

Registered at 1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2022

Student in an Organized Health Care Education/Training Program

NPI Profile Active May 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2021

Registered at 1200 N ELM ST, GREENSBORO, NC 274011020 (Tel: 3368327272)

📍
Updated Business Mailing Address May 06, 2021

Registered at 1200 N ELM ST, GREENSBORO, NC 274011020 (Tel: 3368327272)

👤
Provider Name / Credentials Updated May 06, 2021

Recorded as MATTHEW JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Internal Medicine (License #JOHN-E7TS34 in NC)

🟢
Initial NPI Registration & Enumeration May 06, 2021

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: 1679157630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2021
Last Update: September 24, 2025
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.