Active NPI 1114943263 Individual Practitioner Male Practitioner

Dr. Douglas Ross Johnson , MD

Pathology - Anatomic Pathology & Clinical Pathology • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Johnson, MD is a certified Pathology - Anatomic Pathology & Clinical Pathology practicing in Cincinnati, OH. With approximately 29 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1997, Dr. Johnson delivers high-quality medical care to the local community at 234 GOODMAN ST.

Dr. Johnson is affiliated with University Of Cincinnati Physicians Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, special stained specimen slides to examine tissue, initial procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

234 Goodman St

Cincinnati, OH 452192364

Telephone 5135843832

Fax 5135843807

Associated Practice Facility / Clinic

🏢 University Radiology Associates Of Cincinnati, Inc. Facility NPI 1437120599

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +2.9 yrs vs City Avg

City Avg: 26.1 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

104 Specialists

Practicing in Cincinnati, OH (701 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (29 Years) 29 Yrs

Cincinnati Specialty Average (26.1 Years) 26.1 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	502	284	$83.00	$33.82
88341 Special stained specimen slides to examine tissue	132	35	$149.00	$25.83
88342 Special stained specimen slides to examine tissue, initial procedure	122	101	$173.39	$32.19
88112 Cell examination of specimen, selective cellular enhancement technique	97	76	$136.00	$25.47
88173 Evaluation of fine needle aspirate with interpretation and report	19	17	$164.00	$64.36
88312 Special stained specimen slides to identify organisms including interpretation and report	18	15	$63.00	$23.28
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	18	$26.00	$10.52
88108 Cell examination of specimen, concentration technique	13	13	$52.00	$20.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	489	301	$86.42	$35.61
88341 Special stained specimen slides to examine tissue	156	45	$60.00	$27.12
88342 Special stained specimen slides to examine tissue, initial procedure	113	100	$99.00	$33.17
88112 Cell examination of specimen, selective cellular enhancement technique	108	84	$136.00	$25.98
88312 Special stained specimen slides to identify organisms including interpretation and report	45	30	$63.00	$25.03
88173 Evaluation of fine needle aspirate with interpretation and report	35	27	$164.00	$67.13
88304 Pathology examination of tissue using a microscope, moderately low complexity	17	16	$26.00	$10.93
88307 Pathology examination of tissue using a microscope, moderately high complexity	16	15	$191.00	$78.98
88305 Pathology examination of tissue using a microscope, intermediate complexity	13	11	$160.85	$63.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	465	291	$91.40	$35.92
88341 Special stained specimen slides to examine tissue	156	45	$56.26	$27.23
88112 Cell examination of specimen, selective cellular enhancement technique	132	105	$127.16	$26.64
88342 Special stained specimen slides to examine tissue, initial procedure	120	101	$108.77	$33.44
88173 Evaluation of fine needle aspirate with interpretation and report	33	33	$156.97	$68.27
88331 Pathology examination of specimen during surgery, first tissue block	31	13	$134.03	$60.18
88307 Pathology examination of tissue using a microscope, moderately high complexity	30	25	$181.17	$80.05
88312 Special stained specimen slides to identify organisms including interpretation and report	28	26	$60.43	$25.65
88304 Pathology examination of tissue using a microscope, moderately low complexity	14	13	$25.07	$11.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	439	263	$83.00	$36.33
88112 Cell examination of specimen, selective cellular enhancement technique	146	115	$124.00	$27.13
88341 Special stained specimen slides to examine tissue	120	40	$56.00	$27.91
88342 Special stained specimen slides to examine tissue, initial procedure	106	89	$122.00	$33.86
88173 Evaluation of fine needle aspirate with interpretation and report	44	37	$152.00	$68.45
88307 Pathology examination of tissue using a microscope, moderately high complexity	36	26	$176.00	$81.75
88312 Special stained specimen slides to identify organisms including interpretation and report	32	19	$59.00	$26.39
88304 Pathology examination of tissue using a microscope, moderately low complexity	26	24	$24.00	$11.31
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician	20	20	$57.00	$21.09
88331 Pathology examination of specimen during surgery, first tissue block	18	16	$132.00	$61.16
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision	16	16	$49.00	$20.26
88108 Cell examination of specimen, concentration technique	13	11	$61.00	$22.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	469	281	$83.00	$38.27
88112 Cell examination of specimen, selective cellular enhancement technique	151	115	$124.00	$28.41
88342 Special stained specimen slides to examine tissue, initial procedure	115	90	$122.00	$35.15
88341 Special stained specimen slides to examine tissue	112	37	$56.00	$28.90
88173 Evaluation of fine needle aspirate with interpretation and report	48	40	$152.00	$72.76
88307 Pathology examination of tissue using a microscope, moderately high complexity	31	27	$176.00	$82.74
88312 Special stained specimen slides to identify organisms including interpretation and report	28	22	$59.00	$27.38
88360 Microscopic genetic analysis of tumor	24	12	$120.00	$43.23
88304 Pathology examination of tissue using a microscope, moderately low complexity	18	16	$24.00	$11.74
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician	16	16	$57.00	$25.25
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision	13	13	$49.00	$20.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	667	438	$82.88	$38.09
88112 Cell examination of specimen, selective cellular enhancement technique	231	190	$124.00	$28.34
88342 Special stained specimen slides to examine tissue, initial procedure	192	169	$122.00	$35.73
88341 Special stained specimen slides to examine tissue	189	55	$56.00	$29.09
88307 Pathology examination of tissue using a microscope, moderately high complexity	52	45	$176.00	$82.64
88173 Evaluation of fine needle aspirate with interpretation and report	50	44	$152.00	$71.88
88331 Pathology examination of specimen during surgery, first tissue block	43	26	$132.00	$63.69
88360 Microscopic genetic analysis of tumor	39	16	$120.00	$43.18
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician	33	33	$57.00	$31.00
88312 Special stained specimen slides to identify organisms including interpretation and report	29	24	$59.00	$27.04
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision	25	25	$49.00	$22.06
88304 Pathology examination of tissue using a microscope, moderately low complexity	21	21	$24.00	$11.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	657	430	$83.00	$37.53
88342 Special stained specimen slides to examine tissue, initial procedure	211	182	$114.75	$35.19
88341 Special stained specimen slides to examine tissue	205	68	$41.44	$28.62
88112 Cell examination of specimen, selective cellular enhancement technique	157	128	$124.00	$28.11
88331 Pathology examination of specimen during surgery, first tissue block	72	34	$132.00	$63.64
88307 Pathology examination of tissue using a microscope, moderately high complexity	67	53	$176.00	$83.31
88304 Pathology examination of tissue using a microscope, moderately low complexity	43	42	$24.00	$11.50
88313 Special stained specimen slides to examine tissue including interpretation and report	43	38	$26.00	$11.66
88360 Microscopic genetic analysis of tumor	34	15	$120.00	$44.79
88173 Evaluation of fine needle aspirate with interpretation and report	33	30	$152.00	$69.38
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician	27	27	$57.00	$31.05
88312 Special stained specimen slides to identify organisms including interpretation and report	26	17	$59.00	$23.81
88309 Pathology examination of tissue using a microscope, high complexity	15	15	$303.00	$148.98
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision	14	14	$49.00	$24.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	566	387	$83.00	$37.96
88341 Special stained specimen slides to examine tissue	220	69	$38.00	$28.46
88112 Cell examination of specimen, selective cellular enhancement technique	167	133	$124.00	$27.76
88342 Special stained specimen slides to examine tissue, initial procedure	152	135	$92.00	$35.66
88307 Pathology examination of tissue using a microscope, moderately high complexity	121	98	$176.00	$84.15
88304 Pathology examination of tissue using a microscope, moderately low complexity	88	82	$24.00	$11.69
88311 Preparation of tissue for examination by removing any calcium present	53	40	$27.00	$12.38
88312 Special stained specimen slides to identify organisms including interpretation and report	47	30	$59.00	$27.21
88331 Pathology examination of specimen during surgery, first tissue block	46	33	$132.00	$62.28
88173 Evaluation of fine needle aspirate with interpretation and report	45	37	$152.00	$69.02
88313 Special stained specimen slides to examine tissue including interpretation and report	43	41	$26.00	$12.08
88360 Microscopic genetic analysis of tumor	30	14	$120.00	$52.97
88300 Pathology examination of tissue using a microscope, limited examination	23	23	$10.00	$4.48
88141 Pap test (Pap smear)	21	21	$56.00	$31.14
88309 Pathology examination of tissue using a microscope, high complexity	14	14	$303.00	$140.10

Medical Specialties & State Licenses

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License OH 35121319

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Pathology - Cytopathology

NUCC Taxonomy Code: 207ZC0500X

State License OH 35 121319

A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64064181 (KY)

Commercial Insurance / Payer ID Rr Group#

CB 5773 (KY)

Commercial Insurance / Payer ID Medicaid Lab Group#

37903705 (KY)

Commercial Insurance / Payer ID Medicare Lab Group#

4000501 (KY)

Commercial Insurance / Payer ID Rr Medicare Pin#

220033608 (KY)

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

3188 Bellevue Ave, Cincinnati, OH 452192369

Phone: 5135841000

Practice Associates & Co-Workers

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

23 Associated Practitioners

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Pathology - Anatomic Pathology & Clinical Pathology

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Doctor of Medicine (M.D.)

Dr. Nives Zimmermann , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1205266889

Doctor of Medicine (M.D.)

Dr. Ady Kendler , MD

Pathology - Anatomic Pathology

NPI 1225057482

Doctor of Medicine (M.D.)

Dr. Shagufta Khan , MD

Pathology - Anatomic Pathology

NPI 1265455067

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 12, 2017

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855507)

📍

Updated Practice Location December 12, 2017

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5135843832)

👤

Provider Name / Credentials Updated December 12, 2017

Recorded as DOUGLAS JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Pathology (License #35 121319 in OH)

✅

NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2016

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5135843832)

📍

Updated Business Mailing Address March 17, 2016

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5135847284)

👤

Provider Name / Credentials Updated March 17, 2016

Recorded as DOUGLAS JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Pathology (License #35 121319 in OH)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114943263

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: December 12, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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