Individual provider Active NPI

Stephen Cornelius Johnson, M.D.

  • Urology Physician
  • Chillicothe, OH
National Provider Identifier
1699828400
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.095471 Issued in OH
Practice address
4439 State Route 159 Ste 260
Chillicothe, OH 45601-7502
Phone
(740) 779-4370
Fax
(740) 779-4379
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 201215 LA
Urology Physician 208800000X 35.095471 OH Primary

Addresses

Primary practice location

4439 State Route 159 Ste 260
Chillicothe, OH 45601-7502

Mailing address

4439 State Route 159 Ste 260
Chillicothe, OH 45601-7502
Phone (740) 779-4370

Other identifiers 1

IdentifierTypeStateIssuer
3082775MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.urology@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100805000011 OH Practitioner - Urology 2365546181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

272 Hospital Rd
Chillicothe, OH 45601-9031

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
  • Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
  • Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201215LAMDUrology Physician
35.095471OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Urology CurrentSince Jun 29, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

272 Hospital Rd
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: sjohnson548170@direct.osumc.edu

Organizations & group practices 2

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 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1699828400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 260",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017502",
            "telephone_number": "740-779-4370",
            "fax_number": "740-779-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 260",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017502",
            "telephone_number": "740-779-4370",
            "fax_number": "740-779-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHEN",
        "middle_name": "CORNELIUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "201215",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.095471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082775",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.urology@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159 Ste 260",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.