Individual provider Active NPI

Clint Weston Johnson, MD

  • Orthopaedic Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1194929760
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N6392 Issued in TX
Practice address
9305 Pinecroft Dr Ste 400
The Woodlands, TX 77380-3482
Phone
(713) 486-8800
Fax
(281) 367-1323
NPI assigned
Jun 14, 2007
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N6392 TX Primary

Addresses

Primary practice location

9305 Pinecroft Dr Ste 400
The Woodlands, TX 77380-3482

Mailing address

6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-7500

Other identifiers 2

IdentifierTypeStateIssuer
8DJ311OtherTXBLUE CROSS BLUE SHIELD
218709803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000627 TX Practitioner - Orthopedic Surgery 2567586357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 12, 2016 Accepting new patients
Ut Physicians CurrentSince Nov 12, 2016 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

9305 Pinecroft Dr
Ste 400
The Woodlands, TX 77380
Phone (713) 486-8800

Interoperability endpoints

  • Direct secure messaging: cjohnson11431@direct.uth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1194929760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-7500",
            "fax_number": "713-512-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 PINECROFT DR STE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803482",
            "telephone_number": "713-486-8800",
            "fax_number": "281-367-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLINT",
        "middle_name": "WESTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N6392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8DJ311",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218709803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.