Mark Leo Johnson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18363 Issued in WV

Practice address

3000 Mon Health Medical Park Dr Ste 3300
Morgantown, WV 26505-1169

Phone

(304) 599-1448

Fax

(304) 599-5335

NPI assigned

Oct 23, 2006

Last updated

Apr 1, 2024By 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 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

General SurgeryAlso: Peripheral Vascular Disease

Education

University of Minnesota Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Preston Memorial Hospital CorporationGroup PAC ID 5294645107, shared by 3 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
• Preston Memorial Hospital Hospital, Kingwood, WV, CCN 511312

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

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.

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223
  Medicare reassignment Care Compare group
• Preston Memorial Hospital Corporation

  • Critical Access Hospital
  • Kingwood, WV
  • NPI 1013950054
  Medicare reassignment NPD
• Preston Memorial Hospital Corporation

  • Emergency Medicine Physician
  • Kingwood, WV
  • NPI 1841230661

  Surgery

  Medicare reassignment NPD

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

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation
• Preston Memorial Hospital Corporation

  • Critical Access Hospital
  • Kingwood, WV
  • NPI 1013950054
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1649353855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051169",
            "telephone_number": "304-599-1448",
            "fax_number": "304-599-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051169",
            "telephone_number": "304-599-1448",
            "fax_number": "304-599-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Memorial Dr # A",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "LEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "18363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1453582",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001719640",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126399000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WV5186C185",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Johnson
• Jessica Elizabeth Johnson, M.D.
• Katherine Denise Johnson
• Kayla Johnson, MOT
• Kristina Marie Johnson, DPT
• McKinzey Johnson
• Megan N Johnson, FNP-BC
• Mylissa Johnson
• Albert Martin Johnston, RPH
• Amber Johnston

• Surgery Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.