Individual provider Active NPI

Thomas Gregory Johnson, M.D.

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1285627604
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D15333 Issued in MD
Practice address
311 N 4TH St
Oakland, MD 21550-1371
Phone
(301) 334-8171
Fax
(301) 334-1807
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D15333 MD Primary

Addresses

Primary practice location

311 N 4TH St
Oakland, MD 21550-1371

Mailing address

311 N 4TH St
Oakland, MD 21550-1371
Phone (301) 334-8171

Other identifiers 2

IdentifierTypeStateIssuer
410201100MedicaidMD
0049023000MedicaidWV

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address tjohnson117965@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tjohnson117965@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tjohnson117965@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tjohnson117965@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040611000408 MD Practitioner - Family Practice 2567445307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians

Practice addresses (Care Compare)

311 N 4TH St
Oakland, MD 21550-1371
Phone (301) 334-8171

Hospital & facility affiliations

  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D15333MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Jan 1, 2024 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Jan 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

32 Corporate Dr
Grantsville, MD 21536
Phone (301) 895-3922

311 N 4th St
Oakland, MD 21550
Phone (301) 334-7420

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1285627604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-8171",
            "fax_number": "301-334-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-8171",
            "fax_number": "301-334-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D15333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410201100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049023000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjohnson117965@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjohnson117965@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjohnson117965@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjohnson117965@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.