Andrew Robert Johnson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036121708 Issued in IL

Practice address

4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156

Phone

(618) 242-8480

Fax

(618) 242-8499

NPI assigned

Sep 27, 2005

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 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 2

Specialty

General Surgery

Education

University of Missouri, Columbia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Lukes Hospital of ChillicotheGroup PAC ID 0143130393, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
• Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309
• Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307

Merit-based Incentive Payment System (MIPS)

Final score

92.69 of 100Reported as group

Quality

88.35

Promoting interoperability

97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.53 of 100Reported as group

Quality

83.61

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

77.51 of 100Reported as group

Quality

49.04

Promoting interoperability

95

Improvement activities

40

Cost

69.42

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajohns05@yourcarecommunity.org
• Direct secure messaging: ajohnson153496@direct.saint-lukes.org
• Direct secure messaging: ajohnson474416@direct.bmhcc.org
• Direct secure messaging: andrew.johnson.1@27782.direct.athenahealth.com

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.

• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Medicare reassignment Care Compare group NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty 3331 DeYoung

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235
  Medicare reassignment NPD
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  Medicare reassignment
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty Express 2700 DeYoung

  • Family Medicine Physician
  • Marion, IL
  • NPI 1134836695
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois Union County

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251
  NPD
• Crossroads Physicians Corp

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1508850520

  Surgery

  NPD (past)

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

• General John J Pershing Memorial Hospital Association

  dba Pershing Memorial Hospital

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159
  Care Compare affiliation
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Care Compare affiliation
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Care Compare affiliation

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1164418943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 LINCOLNSHIRE DR",
            "address_2": "PO BOX 968",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642156",
            "telephone_number": "618-242-8480",
            "fax_number": "618-242-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 LINCOLNSHIRE DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642156",
            "telephone_number": "618-242-8480",
            "fax_number": "618-242-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "28808",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036121708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121708",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany L Jerger
• JJR Enterprises Inc
• JJR Enterprises Inc (Sutton House)
• John Hall MD Rural Health Services
• John Hall, M.D., P.C.
• Diane C Johnson, LCSW
• Mallory Johnston, MHP
• Megan Arlicia Kaye Jones, L.P.N
• Serena Gail Jones
• Shari Renee Jones, RN BSN

• Surgery Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.

Verify at the official NPI Registry.