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Deactivated NPI 1538162201 Deactivated / Inactive NPI Male Practitioner

Dr. Martin Lloyd Johnson , MD

Plastic Surgery • San Antonio, TX

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Martin Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~31 Years of Practice (1975 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Martin Johnson, MD was a registered Plastic Surgery in San Antonio, TX. Prior to record deactivation on 2006-03-17, Dr. Johnson completed approximately 31 years of clinical practice following graduation from Baylor College Of Medicine in 1975.

Dr. Johnson was affiliated with Physicians Unity and accepted Medicare assignment.

Historical Medicare Part B clinical services included removal of skin and tissue, 20.0 sq cm or less, ncntc nr ifr spctrsc wnd, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2833 Babcock Rd

San Antonio, TX 782295390

Telephone 2107056300
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in San Antonio, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
51 Yrs +23.9 yrs vs City Avg
City Avg: 27.1 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
27 Specialists

Practicing in San Antonio, TX (399 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (51 Years) 51 Yrs
San Antonio Specialty Average (27.1 Years) 27.1 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
11042 Removal of skin and tissue, 20.0 sq cm or less
76 22 $125.42 $55.40
0640T Ncntc nr ifr spctrsc wnd
66 19 $46.00 $2.74
99213 Established patient office or other outpatient visit, typically 15 minutes
54 21 $297.93 $65.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
18 12 $154.00 $71.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $243.42 $118.98

Medical Specialties & State Licenses

CMS Verified: 2024-06-11
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License TX E4435

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License AZ 11854

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License CA 37362

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Hospital & Practice Group Affiliations

Physicians Unity

2833 Babcock Rd, San Antonio, TX 782294894

Phone: 2107055030

Secondary Practice Locations

13090 N 94th Dr, Suite 101

Peoria, AZ 853814256

Phone: 6239772331

13400 E Shea Blvd

Scottsdale, AZ 852595452

Phone: 4803018000

255 E Bonita Ave

Pomona, CA 917671933

Phone: 9098967733

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1104402072

CCP, Licensed Psychologist

NPI 1184116063

PHYSICIANASSISTANT

Kaleb Pate , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1194372052
Dr. Taral Patel , MD

Internal Medicine

NPI 1427266352

Doctor of Medicine (M.D.)

Jennifer Gonzales , NP

Nurse Practitioner - Adult Health

NPI 1649889098

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 11, 2024

Registered at 2833 BABCOCK RD, SAN ANTONIO, TX 782295390 (Tel: 2107056300)

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Updated Practice Location May 23, 2022

Registered at 255 E BONITA AVE, POMONA, CA 917671933 (Tel: 9098967733)

📍
Updated Business Mailing Address May 23, 2022

Registered at 664 W 1ST ST, CLAREMONT, CA 917114547 (Tel: 6026188993)

📍
Updated Practice Location February 16, 2021

Registered at 13400 E SHEA BLVD, SCOTTSDALE, AZ 852595452 (Tel: 4803018000)

📍
Updated Practice Location September 24, 2012

Registered at 13090 N 94TH DR, SUITE 101, PEORIA, AZ 853814256 (Tel: 6239772331)

📍
Updated Business Mailing Address September 24, 2012

Registered at 7558 W THUNDERBIRD RD, SUITE 1-496, PEORIA, AZ 853816080 (Tel: 6239772331)

👤
Provider Name / Credentials Updated September 24, 2012

Recorded as MARTIN JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Plastic Surgery (License #11854 in AZ)

🔄
NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️
NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢
Initial NPI Registration & Enumeration May 24, 2005

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: 1538162201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: June 11, 2024
Deactivation Date: March 17, 2006
Sole Proprietor: Yes

Mailing Address

664 W 1st St

Claremont, CA 917114547

Phone: 6026188993

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.