Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043482797 Individual Practitioner Male Practitioner

Dr. Michael D. Johnson , MD

Colon & Rectal Surgery • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Johnson, MD is a certified Colon & Rectal Surgery practicing in Kettering, OH. With approximately 23 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 2003, Dr. Johnson delivers high-quality medical care to the local community at 3533 SOUTHERN BLVD STE 5200.

Dr. Johnson is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3533 Southern Blvd Ste 5200

Kettering, OH 454291275

Telephone 9374358663
Fax 9374358966
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Kettering, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs Matches City Avg
City Avg: 23.0 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Kettering, OH (124 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (23 Years) 23 Yrs
Kettering Specialty Average (23.0 Years) 23.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
62 62 $279.00 $104.80
99213 Established patient office or other outpatient visit, typically 15 minutes
60 52 $188.00 $85.92
46600 Diagnostic examination of the anus using an endoscope
47 43 $152.00 $107.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
24 21 $113.00 $53.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
21 17 $360.00 $124.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $427.00 $158.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $279.00 $121.04
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope
11 11 $234.00 $53.36

Medical Specialties & State Licenses

CMS Verified: 2021-07-15
Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License OH 35092049

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2849412 (OH)

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1033521679
Dr. Deepak Kumar , MD

Colon & Rectal Surgery

NPI 1154324747

Doctor of Medicine (M.D.)

Amanda Robinett , RN

Registered Nurse

NPI 1285928408

Registered Nurse

Dr. Augusto Martinez , MD

Colon & Rectal Surgery

NPI 1629071337

Doctor of Medicine (M.D.)

NPI 1770884165

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 15, 2021

Registered at 3533 SOUTHERN BLVD STE 5200, KETTERING, OH 454291275 (Tel: 9374358663)

📍
Updated Business Mailing Address July 15, 2021

Registered at 3533 SOUTHERN BLVD STE 5200, KETTERING, OH 454291275 (Tel: 9374358966)

NPI Profile Active July 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2014

Registered at 5932 SPRINGBORO PIKE, DAYTON, OH 454493250 (Tel: 9374358663)

📍
Updated Business Mailing Address July 28, 2014

Registered at 5932 SPRINGBORO PIKE, DAYTON, OH 454493250 (Tel: 9374358966)

👤
Provider Name / Credentials Updated July 28, 2014

Recorded as MICHAEL JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2014

Colon & Rectal Surgery (License #35092049 in OH)

🟢
Initial NPI Registration & Enumeration April 01, 2008

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: 1043482797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2008
Last Update: July 15, 2021
Sole Proprietor: No

Mailing Address

3533 Southern Blvd Ste 5200

Kettering, OH 454291275

Phone: 9374358966

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.