Thomas Mark Johnson, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

D0057684 Issued in MD

Practice address

200 Executive Center Pkwy
Suite 102
Fredericksburg, VA 22401-3177

Phone

(540) 654-5333

Fax

(540) 654-5334

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Ophthalmology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score

93.14 of 100Reported as group

Quality

99.47

Promoting interoperability

100

Improvement activities

40

Cost

77.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Retina Group of Washington, PLLC

  • Ophthalmology Physician
  • Greenbelt, MD
  • NPI 1225001654

  DC, VA

  Medicare reassignment Care Compare group NPD
• The Retina Group of Washington, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Chestertown, MD
  • NPI 1760110894

  Ophthalmology

  NPD
• The Retina Group of Washington, PLLC

  • Ophthalmology Physician
  • Fredericksburg, VA
  • NPI 1770343766
  NPD (past)
• Bert M. Glaser National Retina Institute, LLC

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1962456780
  NPD (past)
• Katzen Medical Associates, PC

  • Ophthalmology Physician
  • Lutherville, MD
  • NPI 1326052614
  NPD (past)
• Washington Eye Physicians & Surgeons, P.C.

  • Ophthalmology Physician
  • Chevy Chase, MD
  • NPI 1033117718
  NPD (past)
• Washington National Eye Center

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1437175684
  NPD (past)

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

• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1366498545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR",
            "address_2": "SUITE 300",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703514",
            "telephone_number": "301-441-4577",
            "fax_number": "301-474-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EXECUTIVE CENTER PKWY",
            "address_2": "SUITE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013177",
            "telephone_number": "540-654-5333",
            "fax_number": "540-654-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0057684",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101231064",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD32823",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD32823",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0057684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027275400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366498545",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691200100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Johnson, BCABA
• Rod S. Johnson, MD
• Ronald Harvey Johnson, M.D.
• Ryan Johnson
• Sherrie Johnson, LPC
• Victoria Johnson, RN
• William B Johnson, M.D.
• Joint Academy Physical Therapy of VA, P.C.
• Shannon Jolley
• Jonathan Yoder PLLC

• Retina Specialist (Ophthalmology) Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Retina Specialist (Ophthalmology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.