Individual provider Active NPI

Todd C Johnson, MD

  • Orthopaedic Surgery Physician
  • Garland, TX
National Provider Identifier
1902856479
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J9116 Issued in TX
Practice address
2241 Peggy LN
Suite a
Garland, TX 75042-5732
Phone
(972) 276-0536
Fax
(972) 276-6037
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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 J9116 TX Primary

Addresses

Primary practice location

2241 Peggy LN
Suite a
Garland, TX 75042-5732

Mailing address

2241 Peggy LN
Suite a
Garland, TX 75042-5732
Phone (972) 276-0536

Other identifiers 1

IdentifierTypeStateIssuer
84592YOtherTXBCBS

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
I20100714000936 TX Practitioner - Orthopedic Surgery 1456396381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Metroplex Orthopedic AssociatesGroup PAC ID 1052309838, 3 clinicians

Practice addresses (Care Compare)

2241 Peggy LN
Suite a
Garland, TX 75042-5765
Phone (972) 276-0536

Hospital & facility affiliations

  • Home Health Professionals Dallas Home health agency, Dallas, TX, CCN 457812
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
51.01 of 100Reported as individual
Quality
31.26
Improvement activities
40
Cost
28.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement32
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Metroplex Orthopedic Associates Orthopaedic Surgery CurrentSince Jan 1, 2000 Accepting new patients

Locations

2241 Peggy Ln
Ste A
Garland, TX 75042
Phone (972) 276-0536

2241 Peggy Ln
Garland, TX 75042
Phone (972) 276-0536

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1902856479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 PEGGY LN",
            "address_2": "SUITE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425732",
            "telephone_number": "972-276-0536",
            "fax_number": "972-276-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 PEGGY LN",
            "address_2": "SUITE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425732",
            "telephone_number": "972-276-0536",
            "fax_number": "972-276-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TODD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J9116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84592Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.