Active NPI 1336129667 Individual Practitioner Male Practitioner

Dr. Charles H Johnson , MD

Dermatology • Prescott, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Johnson, MD is a certified Dermatology practicing in Prescott, AZ. With approximately 40 years of clinical experience since graduating from George Washington University School Of Medicine in 1986, Dr. Johnson delivers high-quality medical care to the local community at 830 AINSWORTH DRIVE.

Dr. Johnson is affiliated with Prescott Medical And Dermatology Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 Ainsworth Drive

Prescott, AZ 863011614

Telephone 9287760325

Fax 9287760405

Associated Practice Facility / Clinic

🏢 Arizona Associates In Dermatology And Cosmetic Surgery, Llc Facility NPI 1659467397

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Prescott, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +4.2 yrs vs City Avg

City Avg: 35.8 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Prescott, AZ (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (40 Years) 40 Yrs

Prescott Specialty Average (35.8 Years) 35.8 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
17003 Destruction of precancer skin growth, 2-14 growths	232	42	$18.00	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	164	94	$271.77	$81.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$333.00	$100.66
17000 Destruction of skin growth	81	66	$165.00	$44.44
11102 Tangential biopsy of single skin lesion	73	70	$272.00	$80.94
17110 Destruction of up to 14 skin growths	41	36	$277.00	$99.70
11103 Biopsy of related skin growth, each additional growth	23	19	$135.00	$45.09
11104 Punch biopsy, first skin growth	13	11	$310.00	$114.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,316	409	$10.00	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	1,178	773	$129.97	$90.63
17000 Destruction of skin growth	803	562	$112.92	$48.47
11102 Tangential biopsy of single skin lesion	413	334	$172.76	$91.62
17110 Destruction of up to 14 skin growths	324	290	$193.65	$108.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	257	181	$79.00	$55.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	196	196	$185.73	$111.50
11103 Biopsy of related skin growth, each additional growth	148	93	$91.65	$52.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	86	$189.00	$126.21
11104 Punch biopsy, first skin growth	94	86	$218.00	$127.88
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	75	60	$307.00	$151.76
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	57	47	$430.00	$123.60
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	51	41	$750.00	$433.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	18	$2.00	$1.25
69100 Biopsy of ear	29	27	$171.00	$73.19
17004 Destruction of precancer skin growth, 15 or more growths	29	27	$274.00	$164.64
11105 Punch biopsy, each additional skin growth	27	22	$105.00	$60.70
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	17	$295.00	$86.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$526.00	$307.70
11900 Injection into skin growth, 1-7 growths	20	17	$96.00	$42.07
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	19	$326.00	$178.75
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$129.63	$72.26
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$490.00	$140.59
10060 Simple or single drainage of skin abscess	13	13	$211.00	$113.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$698.00	$405.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$285.00	$166.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,139	359	$10.00	$5.98
17000 Destruction of skin growth	687	474	$113.95	$46.67
99213 Established patient office or other outpatient visit, typically 15 minutes	666	435	$129.00	$74.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	409	$188.89	$108.28
11102 Tangential biopsy of single skin lesion	442	356	$172.00	$89.05
17110 Destruction of up to 14 skin growths	250	220	$191.78	$106.83
11103 Biopsy of related skin growth, each additional growth	183	115	$93.00	$52.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	138	$78.00	$45.22
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$133.00	$75.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$188.00	$106.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	63	55	$434.00	$123.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	63	53	$308.00	$150.25
11104 Punch biopsy, first skin growth	57	56	$216.00	$124.30
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	49	45	$753.00	$426.61
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	37	$531.00	$286.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	31	27	$839.00	$479.09
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	24	$448.00	$127.93
69100 Biopsy of ear	20	17	$171.00	$71.44
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$293.00	$85.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$496.00	$140.93
17004 Destruction of precancer skin growth, 15 or more growths	15	14	$265.00	$158.02
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$327.00	$167.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	13	11	$10.00	$1.37
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$699.00	$367.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,990	335	$9.96	$5.56
17000 Destruction of skin growth	636	457	$113.88	$46.03
99213 Established patient office or other outpatient visit, typically 15 minutes	624	412	$128.63	$73.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	464	$188.59	$107.93
11102 Tangential biopsy of single skin lesion	474	356	$171.79	$86.84
17110 Destruction of up to 14 skin growths	244	218	$191.40	$104.97
11103 Biopsy of related skin growth, each additional growth	220	132	$92.75	$52.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	101	$77.92	$44.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$187.94	$107.41
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	73	66	$752.51	$424.49
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	70	59	$433.94	$125.49
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$132.85	$75.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	58	46	$307.95	$143.87
11104 Punch biopsy, first skin growth	56	53	$216.00	$122.26
17004 Destruction of precancer skin growth, 15 or more growths	31	28	$263.19	$151.15
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	28	25	$699.00	$392.03
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	25	$327.00	$173.56
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	23	$495.92	$141.44
69100 Biopsy of ear	25	25	$171.00	$78.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$531.00	$294.17
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	16	$836.71	$478.93
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$293.00	$79.04
11105 Punch biopsy, each additional skin growth	11	11	$106.00	$60.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,690	341	$9.14	$5.16
99213 Established patient office or other outpatient visit, typically 15 minutes	602	446	$126.17	$71.65
17000 Destruction of skin growth	562	460	$115.02	$47.96
11100 Biopsy of single growth of skin and/or tissue	409	345	$182.73	$94.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	369	$186.17	$105.79
17110 Destruction of up to 14 skin growths	214	192	$194.19	$108.49
11101 Biopsy of each additional growth of skin and/or tissue	156	100	$56.69	$32.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	96	$76.25	$43.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$186.59	$105.81
99202 New patient office or other outpatient visit, typically 20 minutes	112	112	$129.92	$73.66
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	35	$305.40	$153.39
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	45	41	$432.18	$122.13
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	39	$741.60	$419.52
17004 Destruction of precancer skin growth, 15 or more growths	39	35	$252.23	$141.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	26	$829.81	$467.88
69100 Biopsy of ear	25	23	$175.36	$75.33
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	19	$688.14	$388.78
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$447.00	$126.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$525.88	$296.94
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$324.13	$177.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$494.00	$139.86
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$290.17	$88.90
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$77.00	$43.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,846	361	$10.00	$5.56
99213 Established patient office or other outpatient visit, typically 15 minutes	711	514	$127.00	$71.96
17000 Destruction of skin growth	631	490	$116.00	$50.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	448	395	$189.00	$105.86
11100 Biopsy of single growth of skin and/or tissue	424	353	$182.00	$94.39
17110 Destruction of up to 14 skin growths	243	226	$195.00	$107.15
99202 New patient office or other outpatient visit, typically 20 minutes	160	160	$131.00	$73.69
11101 Biopsy of each additional growth of skin and/or tissue	150	111	$57.00	$32.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$190.00	$105.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	92	$77.00	$42.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	14	$10.00	$1.83
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	43	$434.00	$120.83
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	45	38	$749.00	$410.69
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	36	$307.00	$154.98
11200 Removal of skin tag, 1-15 skin tags	34	34	$155.00	$66.85
17004 Destruction of precancer skin growth, 15 or more growths	22	20	$263.00	$148.59
69100 Biopsy of ear	22	19	$178.00	$74.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	20	$837.00	$470.39
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	18	$326.00	$179.37
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	18	15	$695.00	$390.68
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	14	$497.00	$148.76
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$77.00	$43.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$532.00	$299.98
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$450.00	$126.67
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	12	11	$335.00	$180.59
11900 Injection into skin growth, 1-7 growths	12	12	$97.00	$38.92

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 17178

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AZ 17178

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

282731 (AZ)

Hospital & Practice Group Affiliations

Prescott Medical And Dermatology Group

810 Ainsworth Dr, Prescott, AZ 863011612

Phone: 9285151155

Secondary Practice Locations

203 S Candy Ln Ste 14

Cottonwood, AZ 863264120

Phone: 9286393387

2820 N Glassford Hill Rd Ste 107

Prescott Valley, AZ 863142256

Phone: 9287728553

18325 N Allied Way Ste 120

Phoenix, AZ 850543107

Phone: 9287760325

Practice Associates & Co-Workers

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

16 Associated Practitioners

Cecily Lunt , MSN, FNP

Nurse Practitioner

NPI 1073065462

Master of Science in Nursing, Family Nurse Practitioner

Juliette Mccaffrey , PA-C

Physician Assistant

NPI 1235227729

Physician Assistant (Certified)

Emily Brewton , PA-C

Physician Assistant

NPI 1255701801

Physician Assistant (Certified)

Dr. Brian Brantner , MD

Plastic Surgery

NPI 1356432983

Doctor of Medicine (M.D.)

Ha Pham , PA-C

Physician Assistant

NPI 1366777575

Physician Assistant (Certified)

Sandra-Lynn Hutchison , PA

Physician Assistant

NPI 1497761332

Physician Assistant

Career & Practice History Timeline

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

18 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2019

Dermatology (License #17178 in AZ)

✅

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2018

Registered at 830 AINSWORTH DRIVE, PRESCOTT, AZ 863011614 (Tel: 9287760325)

📍

Updated Business Mailing Address March 17, 2018

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011630 (Tel: 9287760325)

👤

Provider Name / Credentials Updated March 17, 2018

Recorded as CHARLES JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #17178 in AZ)

✅

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 29, 2018

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011630 (Tel: 9287760325)

📍

Updated Practice Location January 29, 2018

Registered at 830 AINSWORTH DRIVE, PRESCOTT, AZ 863011614 (Tel: 9287760325)

👤

Provider Name / Credentials Updated January 29, 2018

Recorded as CHARLES JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Internal Medicine (License #17178 in AZ)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Dermatology (License #17178 in AZ)

✅

NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2012

Registered at 830 AINSWORTH DRIVE, PRESCOTT, AZ 863011614 (Tel: 9287760325)

📍

Updated Business Mailing Address February 17, 2012

Registered at PO BOX 10730, PRESCOTT, AZ 863040730 (Tel: 9287760325)

👤

Provider Name / Credentials Updated February 17, 2012

Recorded as CHARLES JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Dermatology (License #17178 in AZ)

🟢

Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336129667

Entity Type:

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

Enumeration Date: January 20, 2006

Last Update: April 11, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

830 Ainsworth Dr

Prescott, AZ 863011630

Phone: 9287760325

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.