Active NPI 1093739716 Individual Practitioner Male Practitioner

Dr. Gerald Jerard Johnson , MD

Internal Medicine • Mckinney, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Johnson, MD is a certified Internal Medicine practicing in Mckinney, TX. With approximately 23 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2003, Dr. Johnson delivers high-quality medical care to the local community at 5252 W UNIVERSITY DR.

Dr. Johnson is affiliated with Healthtexas Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5252 W University Dr
Attn: Mkipcu

Mckinney, TX 750717822

Telephone 4697646950

Fax 4697646954

Associated Practice Facility / Clinic

🏢 Baylor Scott & White Medical Centers - Greater North Texas Facility NPI 1124305065

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mckinney, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +1.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

53 Specialists

Practicing in Mckinney, TX (9538 Statewide)

Telehealth Adoption Rate

24.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (23 Years) 23 Yrs

Mckinney Specialty Average (21.6 Years) 21.6 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	177	82	$267.68	$112.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	70	$186.19	$72.32
99239 Hospital discharge day management, more than 30 minutes	100	98	$275.10	$107.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	85	$517.48	$164.76
99238 Hospital discharge day management, 30 minutes or less	32	32	$187.87	$75.81
99291 Critical care, first 30-74 minutes	15	12	$949.97	$202.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$352.24	$119.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	247	135	$186.19	$75.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	159	88	$267.68	$114.39
99239 Hospital discharge day management, more than 30 minutes	129	123	$275.10	$109.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	51	$517.48	$166.76
99238 Hospital discharge day management, 30 minutes or less	31	31	$187.87	$77.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	287	125	$195.64	$98.17
99239 Hospital discharge day management, more than 30 minutes	134	126	$228.47	$100.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	84	$146.64	$68.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$364.25	$189.55
99217 Hospital observation care on day of discharge	32	32	$156.80	$68.59
99220 Hospital observation care, typically 70 minutes	32	31	$353.16	$165.75
99226 Subsequent observation care, typically 35 minutes per day	20	19	$236.88	$96.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	231	94	$160.00	$99.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	76	$115.00	$69.09
99239 Hospital discharge day management, more than 30 minutes	88	85	$195.00	$101.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	69	$315.00	$193.71
99220 Hospital observation care, typically 70 minutes	38	38	$315.00	$175.97
99217 Hospital observation care on day of discharge	20	19	$145.00	$69.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	222	112	$115.00	$70.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	219	89	$160.00	$101.64
99239 Hospital discharge day management, more than 30 minutes	99	93	$195.00	$104.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	73	$315.00	$199.04
99220 Hospital observation care, typically 70 minutes	24	24	$315.00	$182.31
99217 Hospital observation care on day of discharge	23	23	$145.00	$71.49
99238 Hospital discharge day management, 30 minutes or less	17	17	$145.00	$71.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	310	150	$169.81	$70.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	117	66	$251.90	$101.20
99239 Hospital discharge day management, more than 30 minutes	101	96	$305.05	$103.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	49	$339.60	$196.78
99220 Hospital observation care, typically 70 minutes	50	46	$406.08	$180.69
99238 Hospital discharge day management, 30 minutes or less	43	42	$154.67	$69.93
99217 Hospital observation care on day of discharge	27	27	$357.59	$70.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$292.83	$124.50
99219 Hospital observation care, typically 50 minutes	11	11	$326.45	$132.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	428	184	$349.69	$70.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	264	142	$496.00	$100.57
99239 Hospital discharge day management, more than 30 minutes	232	211	$480.00	$104.56
99217 Hospital observation care on day of discharge	50	50	$719.00	$71.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	39	$930.00	$197.74
99225 Subsequent observation care, typically 25 minutes per day	23	18	$713.00	$71.38
99220 Hospital observation care, typically 70 minutes	12	12	$1833.00	$181.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	404	185	$341.38	$66.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	237	127	$489.62	$95.75
99239 Hospital discharge day management, more than 30 minutes	215	201	$472.51	$98.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	107	102	$916.02	$184.30
99217 Hospital observation care on day of discharge	58	55	$704.93	$64.92
99220 Hospital observation care, typically 70 minutes	47	47	$1786.72	$167.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$631.43	$125.81
99225 Subsequent observation care, typically 25 minutes per day	18	15	$697.89	$67.07
99219 Hospital observation care, typically 50 minutes	11	11	$1294.45	$124.98

Medical Specialties & State Licenses

CMS Verified: 2023-02-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M3276

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX M3276

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1805921-04 (TX)

Medicaid State Provider ID

180592101 (TX)

Medicaid State Provider ID

200098530A (OK)

Hospital & Practice Group Affiliations

Healthtexas Provider Network

5252 W University Dr, Mckinney, TX 750717822

Phone: 4697646950

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Muhammad Asghar , MD

Hospitalist

NPI 1063862795

Doctor of Medicine (M.D.)

Dr. Ayesha Jamal , MD

Internal Medicine

NPI 1114102092

Doctor of Medicine (M.D.)

Dr. Nivedita Sudhekar , MD

Internal Medicine

NPI 1336672245

Doctor of Medicine (M.D.)

Dr. Sameh Elsaid , MD

Internal Medicine

NPI 1396829552

Doctor of Medicine (M.D.)

Dr. Honey Cheruiyot , MD

Internal Medicine

NPI 1427198373

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2023

Hospitalist (License #M3276 in TX)

✅

NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2014

Registered at 5252 W UNIVERSITY DR, ATTN: MKIPCU, MCKINNEY, TX 750717822 (Tel: 4697646950)

📍

Updated Business Mailing Address July 07, 2014

Registered at 5252 W UNIVERSITY DR, ATTN: MKIPCU, MCKINNEY, TX 750717822 (Tel: 4697646950)

👤

Provider Name / Credentials Updated July 07, 2014

Recorded as GERALD JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Internal Medicine (License #M3276 in TX)

🟢

Initial NPI Registration & Enumeration July 26, 2006

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 Dr. Gerald 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: 1093739716

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: February 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5252 W University Dr, Attn: Mkipcu

Mckinney, TX 750717822

Phone: 4697646950

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.