Active NPI
Scott Raymond Johnson, MD
- Surgery Physician
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD21930
- Practice address
- 12 High St Ste 401
Lewiston, ME 04240-7690 - Phone
- (207) 795-5767
- Fax
- (207) 795-2732
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD21930 | ME | Primary |
| Transplant Surgery Physician | 204F00000X | 216275 | MA |
Addresses
Primary practice location
12 High St Ste 401
Lewiston, ME 04240-7690
Mailing address
12 High St
Lewiston, ME 04240-7676
Phone (207) 795-5767
Other practice location 1
420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1106
Other practice location 2
110 Francis St
Lmob 7
Boston, MA 02215-5501
Phone (617) 632-9824
Other practice location 3
12 High St Ste 401
Lewiston, ME 04240-7690
Phone (207) 795-5767
Other practice location 4
25 Hospital Dr
Bridgton, ME 04009-1167
Phone (207) 647-4234
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J25610 | Other | MA | BLUE CROSS |
| 216275 | Other | MA | TUFTS HEALTH PLAN |
| 0184144 | Other | MA | MASSHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Cincinnati College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.02 of 100
- Quality
- 59.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45492 | MA | MD | Psychiatry Physician |
| MD21930 | ME | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgton Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
25 Hospital Dr
Bridgton, ME 04009
Phone (207) 524-3501
12 High St
Ste 401
Lewiston, ME 04240
Phone (207) 795-2494
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
12 High St
Lewiston, ME 04240
Phone (207) 795-5730
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
105 Topsham Fair Mall Rd
Unit 2
Topsham, ME 04086
Phone (207) 798-6300
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104896133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407676",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGH ST STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407690",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732"
}
],
"practiceLocations": [
{
"address_1": "420 Franklin St",
"address_purpose": "LOCATION",
"city": "Rumford",
"state": "ME",
"postal_code": "042762104",
"country_code": "US",
"telephone_number": "207-369-1106",
"fax_number": "207-369-1180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Francis St",
"address_2": "LMOB 7",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155501",
"country_code": "US",
"telephone_number": "617-632-9824",
"fax_number": "617-632-9820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 High St Ste 401",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042407690",
"country_code": "US",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Bridgton",
"state": "ME",
"postal_code": "040091167",
"country_code": "US",
"telephone_number": "207-647-4234",
"fax_number": "207-647-6260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SCOTT",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD21930",
"primary": true
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "MA",
"license": "216275",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J25610",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "216275",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "0184144",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.