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Active NPI 1629481379 Individual Practitioner Male Practitioner

Dr. Bennett M Johnson , MD

Surgery - Trauma Surgery • Edmonds, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bennett Johnson, MD is a certified Surgery - Trauma Surgery practicing in Edmonds, WA. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Johnson delivers high-quality medical care to the local community at 21616 76TH AVE W STE 201A.

Dr. Johnson is affiliated with Swedish Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

21616 76th Ave W Ste 201a

Edmonds, WA 980267512

Telephone 4256733400
Fax 4256733401
Associated Practice Facility / Clinic
🏢 Swedish Health Services Facility NPI 1720033145

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Trauma Surgery in Edmonds, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Edmonds, WA (44 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (12 Years) 12 Yrs
Edmonds Specialty Average (12.0 Years) 12.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
53 53 $507.51 $167.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
41 26 $205.00 $77.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
22 21 $545.00 $170.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
22 22 $372.00 $128.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 18 $349.41 $128.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
12 11 $291.00 $116.49

Medical Specialties & State Licenses

CMS Verified: 2025-10-24
Surgery - Trauma Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0127X

State License WA MD60864242

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Hospital & Practice Group Affiliations

Swedish Health Services

21601 76th Ave W, Edmonds, WA 980267507

Phone: 4256404000

Secondary Practice Locations

1321 Colby Ave

Everett, WA 982011665

Phone: 4252612000

Practice Associates & Co-Workers

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

6 Associated Practitioners
Zachary Weaver , PA-C

Physician Assistant - Surgical

NPI 1013482892

Physician Assistant (Certified)

Lauren Hunter , PA-C

Physician Assistant - Surgical

NPI 1316582695

Physician Assistant (Certified)

NPI 1457771636

Doctor of Medicine (M.D.)

NPI 1477084770

Doctor of Medicine (M.D.)

NPI 1851359467

Doctor of Medicine (M.D.)

Jeffrey Robin , PA-C

Physician Assistant - Surgical

NPI 1861422826

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Surgery (License #MD60864242 in WA)

📍
Updated Practice Location August 02, 2019

Registered at 21616 76TH AVE W STE 201A, EDMONDS, WA 980267512 (Tel: 4256733400)

📍
Updated Business Mailing Address August 02, 2019

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤
Provider Name / Credentials Updated August 02, 2019

Recorded as BENNETT JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2019

Surgery (License #MD60864242 in WA)

NPI Profile Active June 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2014

Registered at 747 BROADWAY, SUITE WW739 SWEDISH MEDICAL CENTER, SEATTLE, WA 98122 (Tel: 2063862123)

📍
Updated Business Mailing Address June 10, 2014

Registered at 747 BROADWAY, SUITE WW739 SWEDISH MEDICAL CENTER, SEATTLE, WA 98122 (Tel: 2063862123)

👤
Provider Name / Credentials Updated June 10, 2014

Recorded as BENNETT JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 10, 2014

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: 1629481379
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2014
Last Update: October 24, 2025
Sole Proprietor: No

Mailing Address

Po Box 25608

Salt Lake City, UT 841250608

Phone: 2063204476

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.