Provider Type Icon

DR. CHARLES TIMOTHY JOHNSON M.D. NPI 1053317198


NPI Information

NPI: 1053317198
Provider Name: DR. CHARLES TIMOTHY JOHNSON, M.D.
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
2121 E HARMONY RD
UNIT 100
FORT COLLINS, CO
ZIP 80528
Phone: (970) 221-1000
Get Directions

DR. Charles Timothy Johnson, M.D. is a clinical cardiac electrophysiology internal medicine in Fort Collins, CO with 34 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Charles Timothy Johnson, M.D. NPI is 1053317198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

2121 E HARMONY RD
UNIT 100
FORT COLLINS, CO
ZIP 80528-401
Phone: (970) 221-1000
Fax: (970) 297-6860

The NPI 1053317198 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)

The enumeration date for this NPI number is 6/23/2005 and was last updated on 6/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease38097COLORADONo
2207RC0000XInternal MedicineCardiovascular Disease21237NEBRASKANo
3207RC0000XInternal MedicineCardiovascular Disease6279AWYOMINGNo
4207RC0001XInternal MedicineClinical Cardiac Electrophysiology38097COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W24681MEDICARE PINWYOMING
2COA104970MEDICARE PINCOLORADO
3114449900MEDICAIDWYOMING
4P00970363OTHERCOLORADORAILROAD MEDICARE
5NA1626005MEDICARE PINNEBRASKA
687201381MEDICAIDCOLORADO
7F71129MEDICARE UPIN
8NA1625005MEDICARE PINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.