✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

CARL E JOHNSON, MD (NPI #1144237215)

Internal Medicine • TOPSFIELD, MA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1144237215
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
123 HIGH ST, TOPSFIELD, MA, 01983-1921
✓ 9-Digit EDI 837 ZIP+4 (01983-1921)
Practice Phone & Referral Fax
Fax: (978) 887-1971
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1144237215 (CARL E JOHNSON, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1144237215)

Medicare Beneficiaries
129
Total Billed Services
748
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$51,770.32

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes433
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more157
99315 Nursing facility discharge day management, 30 minutes or less51

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acyclovir
Acyclovir
12<11
Alendronate Sodium
Alendronate Sodium
22<11
Allopurinol
Allopurinol
37<11
Amantadine
Amantadine Hcl
11<11
Amiodarone Hcl
Amiodarone Hcl
36<11
Amlodipine Besylate
Amlodipine Besylate
56<11
Atenolol
Atenolol
34<11
Atorvastatin Calcium
Atorvastatin Calcium
16225

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1144237215 (NPI-1 Individual Practitioner)
Provider / Legal NameCARL E JOHNSON, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address123 HIGH ST, TOPSFIELD, MA, 01983-1921
Practice Telephone / FaxTel: (978) 921-1392 | Fax: (978) 887-1971
Administrative Mailing AddressPO BOX 61, BOXFORD, MA, 01921-0061
Enumeration & Last SyncEnumerated: 2006-08-02 | CMS Record Updated: 2023-02-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

123 HIGH ST, TOPSFIELD, MA, 01983-1921

🗺️ Open in Google Maps 🏥 More Providers in TOPSFIELD

Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARL E JOHNSON, MD)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: MA | License: 46917 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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