CLIFFORD JOHNSON NPI 1578585725

NPI Information

  • NPI: 1578585725
  • Provider Name: CLIFFORD JOHNSON
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1802 S. MATTIS AVE.
    CHAMPAIGN, IL
    ZIP 61821
  • Phone: (217) 383-3260

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NPI Details

Clifford Johnson is a hand surgery orthopaedic surgery in Champaign, IL with 32 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Clifford Johnson NPI is 1578585725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1802 S. MATTIS AVE.
CHAMPAIGN, IL
ZIP 61821-923
Phone: (217) 383-3260
Fax: (217) 383-4459

The NPI 1578585725 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection into tendon or ligament (HCPCS:20550)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 5/26/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand Surgery036102230ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10533210001OTHERILLINOISDMERC #
2IL3270234MEDICARE PINILLINOIS
3H19535MEDICARE UPINILLINOIS

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: 11/21/2025

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