Individual provider Active NPI

Dustin Lee Johnson, MD

  • Diagnostic Radiology Physician
  • Portsmouth, OH
National Provider Identifier
1033439492
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.128174 Issued in OH
Practice address
1805 27TH St
Portsmouth, OH 45662-2640
Phone
(740) 356-5000
NPI assigned
Jun 9, 2010
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 37954 SC
Diagnostic Radiology Physician 2085R0202X MC-209 GU
Diagnostic Radiology Physician 2085R0202X 35.128174 OH Primary

Addresses

Primary practice location

1805 27TH St
Portsmouth, OH 45662-2640

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8034

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dustin.johnson@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, GU, TX, CO, WV6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20160928000467 OH Practitioner - Diagnostic Radiology 7012104763 Reassigns benefits to 11 organizations
I20190419000465 KY Practitioner - Diagnostic Radiology 7012104763 Reassigns benefits to 6 organizations
I20240419003545 GU Practitioner - Diagnostic Radiology 7012104763 Reassigns benefits to 3 organizations
I20240924001325 TX Practitioner - Diagnostic Radiology 7012104763 Reassigns benefits to 3 organizations
I20250401000140 CO Practitioner - Diagnostic Radiology 7012104763 Reassigns benefits to 1 organization
I20250821000181 WV Practitioner - Diagnostic Radiology 7012104763 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, shared by 19 NPIs, 87 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians
Infinity Teleradiology LLCGroup PAC ID 9830630854, 30 clinicians
Premier Imaging and Intervention PLLCGroup PAC ID 4587562335, 23 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians
Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians
Idoc Telehealth Solutions, IncGroup PAC ID 4587967534, 23 clinicians
Boone Memorial Hospital IncGroup PAC ID 3375433352, shared by 8 NPIs, 78 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

Charleston, WV 25314
Phone (304) 255-3000

Wheelersburg, OH 45694
Phone (606) 439-1331

1 Norwood Rd
Dustin L Johnson MD
Charleston, WV 25314-1326
Phone (480) 306-6949

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

1705 Jackson St
Richmond, TX 77469-3246
Phone (479) 452-9416

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

207 Plummers LN
Vanceburg, KY 41179-7683
Phone (606) 796-0010

226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4823

297 Willow Bend Way
Wheelersburg, OH 45694-8126
Phone (304) 550-7745

299 Glasgow Rd
Burkesville, KY 42717-9696
Phone (270) 864-2511

397 Timberleaf Dr
Beavercreek, OH 45430-2099
Phone (812) 285-5985

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

5350 Old Dowlen Rd
Apt 421
Beaumont, TX 77706-6629
Phone (617) 981-3064

7 Grosscup Rd
Charleston, WV 25314-1209
Phone (606) 545-4500

701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
85.04
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.128174OHMDDiagnostic Radiology Physician
37954SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Cumberland County Hospital Association Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince May 12, 2024 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Sep 29, 2024 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Oct 20, 2025 Accepting new patients
Tyson, Schwab, Short & Weiss PSC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Huerfano County Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Infinity Teleradiology LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jul 19, 2025 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Apr 16, 2024 Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Huerfano County Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Mar 4, 2024 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 5, 2026 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Dec 1, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
T J Samson Community Hospital CurrentSince Jan 1, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
BMB Associates LLC CurrentSince Sep 10, 2021 Accepting new patients
American Imaging and MRI, LLC Diagnostic Radiology CurrentSince Oct 8, 2021 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jul 19, 2025 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 28, 2026 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Nov 5, 2022 Accepting new patients
WRH Physicians, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 5, 2026 Accepting new patients
Premier Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Idoc Telehealth Solutions, Inc CurrentSince Jul 18, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 14, 2023 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Cardiovascular Imaging Services, Inc. Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jan 11, 2023 Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince May 14, 2021 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jan 11, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Current Accepting new patients
Huerfano County Hospital District Current Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 36)

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2546

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-2442

8301 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 415-6693

8414 Naab Rd
Ste 130
Indianapolis, IN 46260
Phone (317) 338-7687

8550 Naab Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-9590

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4444

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dustin.johnson@somc.medicity.net

Organizations & group practices 50

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 50

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1033439492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8034",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622640",
            "telephone_number": "740-356-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DUSTIN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "37954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-209",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.128174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustin.johnson@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1805 27th St",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.