DR. JESSE CLARK JOHNSON M.D.
NPI 1033146212
Radiology - Diagnostic Radiology in Traverse City, MI
Quality Rating: 78.75 out of 100 score
NPI Status: Active since June 26, 2006
Contact Information
1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0497
- Individual
- Male
- Years of Experience 25
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JESSE JOHNSON
This page provides the complete NPI Profile along with additional information for Jesse Johnson, a provider established in Traverse City, Michigan with a medical specialization in Radiology, focusing in diagnostic radiology and more than 25 years of experience. He graduated from University Of Arizona College Of Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1033146212 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 4301078527 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1033146212
- Provider Name
- DR. JESSE CLARK JOHNSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1105 SIXTH ST TRAVERSE CITY, MI 49684
- Location Phone
- (231) 935-0497
- Mailing Address
- PO BOX 30516 DEPT. 9516 LANSING, MI 48909
- Mailing Phone
- (231) 935-0497
- Mailing Fax
- Medical School Name
- UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-26-2006
- Last Update Date
- 04-29-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301078527
- License State
- MI
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jesse Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jesse Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6002829017
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060717000022
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of breast and placement of locating device using ultrasound, first growth
Biopsy of breast and placement of locating device using x-ray with needle, first growth
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of blood vessels of head with contrast
Ct scan of blood vessels of neck with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of face without contrast
Ct scan of lower spine without contrast
Ct scan of middle spine without contrast
Ct scan of soft tissue of neck with contrast
Ct scan of upper spine without contrast
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
Diagnostic mammography of 1 breast
Diagnostic mammography of 1 breast
Diagnostic mammography of both breasts
Diagnostic mammography of both breasts
Double contrast x-ray of upper digestive tract
Imaging for evaluation of swallowing function
Limited ultrasound scan behind abdominal cavity
Limited ultrasound scan of 1 breast
Limited ultrasound scan of 1 breast
Limited ultrasound scan of abdomen
Low dose ct scan of chest for lung cancer screening
Mri scan of abdomen before and after contrast
Mri scan of arm joint without contrast
Mri scan of both breasts
Mri scan of brain before and after contrast
Mri scan of leg joint without contrast
Mri scan of lower spinal canal without contrast
Nuclear medicine studies of heart muscle at rest and with stress and spect
Nuclear medicine study from skull base to mid-thigh with ct scan
Placement of locating device in breast using ultrasound guidance, first growth
Screening 3d breast mammography
Screening 3d breast mammography
Screening mammography
Screening mammography
Ultrasound study of one arm or leg veins with compression and maneuvers
X-ray of abdomen, 1 view
X-ray of abdomen, 2 views
X-ray of ankle, minimum of 3 views
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of foot, minimum of 3 views
X-ray of hand, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of lower leg, 2 views
X-ray of pelvis, 1-2 views
X-ray of ribs on side of body, minimum of 3 views
X-ray of shoulder, minimum of 2 views
X-ray of surgical specimen
X-ray of wrist, minimum of 3 views
X-ray series of abdomen with single x-ray of chest
A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.
This service was performed 29 times for 29 patientsA biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.
This service was performed 18 times for 18 patientsA CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 125 times for 124 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 17 times for 17 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 148 times for 146 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 60 times for 60 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 54 times for 54 patientsA CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
This service was performed 27 times for 27 patientsA CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
This service was performed 29 times for 29 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 85 times for 83 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 50 times for 50 patientsA CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
This service was performed 17 times for 17 patientsA CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
This service was performed 27 times for 27 patientsA CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.
This service was performed 11 times for 11 patientsA CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
This service was performed 12 times for 12 patientsA CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
This service was performed 43 times for 43 patientsDiagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
This service was performed 14 times for 13 patientsDiagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
This service was performed 80 times for 78 patientsDiagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
This service was performed 85 times for 78 patientsDiagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
This service was performed 87 times for 87 patientsDiagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
This service was performed 15 times for 15 patientsDiagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
This service was performed 60 times for 60 patientsA double contrast x-ray of the upper digestive tract is a diagnostic procedure. It involves drinking a substance to coat your stomach and esophagus, and then a gas-forming agent. X-rays are taken, providing detailed images to help identify any abnormalities in your upper digestive system.
This service was performed 14 times for 14 patientsThis process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
This service was performed 15 times for 15 patientsA limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
This service was performed 19 times for 19 patientsA limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
This service was performed 32 times for 32 patientsA limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
This service was performed 98 times for 97 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 23 times for 23 patientsA low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
This service was performed 23 times for 23 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 29 times for 29 patientsAn MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 15 times for 15 patientsAn MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.
This service was performed 18 times for 18 patientsAn MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
This service was performed 24 times for 24 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 16 times for 15 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 44 times for 44 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 18 times for 18 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 16 times for 16 patientsThis procedure involves inserting a small locating device into the breast tissue using ultrasound. The device helps accurately mark the position of the first growth. This aids in precise treatment planning. It's a non-invasive process with minimal discomfort.
This service was performed 14 times for 14 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 398 times for 398 patientsScreening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 370 times for 370 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 751 times for 751 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 781 times for 781 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 28 times for 28 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 52 times for 51 patientsAn X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.
This service was performed 11 times for 11 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 18 times for 18 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 361 times for 327 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 124 times for 124 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 34 times for 30 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 23 times for 19 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 38 times for 38 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 39 times for 32 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 17 times for 17 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 22 times for 22 patientsAn X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.
This service was performed 12 times for 11 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 12 times for 11 patientsThis is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.
This service was performed 13 times for 13 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 33 times for 31 patientsAn X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
This service was performed 17 times for 15 patientsAn X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
This service was performed 20 times for 17 patientsAn X-ray series of the abdomen and a single X-ray of the chest are imaging tests. They help doctors view the structures within your abdomen and chest. These tests can detect issues like blockages, infections, or tumors. You'll be positioned carefully, and the machine captures images.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $17.01 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49684 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 78.75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 78.75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 75
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
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Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jesse Johnson is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
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MUNSON HEALTHCARE GRAYLING HOSPITAL | 1100 E MICHIGAN AVE GRAYLING, MI 49738 | (989) 348-5461 | Acute Care Hospitals | |
MUNSON HEALTHCARE CADILLAC HOSPITAL | 400 HOBART ST CADILLAC, MI 49601 | (231) 876-7200 | Acute Care Hospitals | |
MUNSON MEDICAL CENTER | 1105 SIXTH STREET TRAVERSE CITY, MI 49684 | (231) 935-5000 | Acute Care Hospitals | |
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL | 825 N CENTER AVE GAYLORD, MI 49735 | (989) 731-2100 | Acute Care Hospitals | |
MUNSON HEALTHCARE MANISTEE HOSPITAL | 1465 E PARKDALE AVE MANISTEE, MI 49660 | (231) 398-1000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 3 | 3 | 1 | 4 | 6 | 2 | 1 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 6 | 3 | 2 | 4 | 12 | 2 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 6 + 3 + 2 + 4 + 1 + 2 + 2 + 2 + 24 = 48 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 48 = 2 | 2 |
The NPI number 1033146212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1437142791 | DR. AMY DENISE ROBERTSON MD Individual | Internal Medicine | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-5000 |
1962450379 | PATRICIA A HOBAN NP Individual | Nurse Practitioner | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6520 |
1285673863 | THOMAS MCELWEE MD Individual | Internal Medicine | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-5000 |
1154334399 | DR. BRIAN ALLEN LISHAWA M.D. Individual | Internal Medicine | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 922-9270 |
1316018526 | GRETA PECK PA-C Individual | Physician Assistant | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6520 |
1285754077 | DR. MATTHEW ROBERT CODY M.D. Individual | Internal Medicine | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 922-9270 |
1518174101 | ROBYN CHRISTINE YATES FNP Individual | Nurse Practitioner (Family) | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-5000 |
1407064009 | BENJAMIN GORDON LAMPHERE M.D. Individual | Internal Medicine | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-5000 |
1659582682 | MRS. KAREN C HOCKING RPH Individual | Pharmacist (Pharmacotherapy) | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6581 |
1215124094 | BRIDGET MARY KLAASEN MA Individual | Counselor (Professional) | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6382 |
1013104421 | MRS. MICHELLE K HEARN PHARM.D. Individual | Pharmacist | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6581 |
1255528238 | MR. JAMES A. LOHR CSW Individual | Social Worker | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6382 |
1285822270 | MARY KLYM ACSW,LMSW Individual | Counselor | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6911 |
1063691558 | HEIDI A DAVIDSON RPH Individual | Pharmacist | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6581 |
1588844203 | MARTIN HELMUT KOCAN RPH Individual | Pharmacist | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6581 |
1801072038 | MARK W HEINDL RPH Individual | Pharmacist | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6621 |
1841478419 | THOMAS STEDMAN GILBERT M.A. Individual | Counselor (Addiction (Substance Use Disorder)) | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6215 |
1598933160 | DEBORAH MAE MARSHALL LPN Individual | Counselor (Addiction (Substance Use Disorder)) | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-6215 |
1457512832 | JUDY DUNMIRE RPH Individual | Pharmacist | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-5650 |
1396906145 | KATHLEEN A BECKER RPH Individual | Pharmacist | 1105 SIXTH ST TRAVERSE CITY, MI 49684 (231) 935-5000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033146212, enumerated in the NPI registry as an "individual" on June 26, 2006
The provider is located at 1105 Sixth St Traverse City, Mi 49684 and the phone number is (231) 935-0497
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 25 years of experience. He graduated from University Of Arizona College Of Medicine in 2001.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Biopsy of breast and placement of locating device using ultrasound, first growth, Biopsy of breast and placement of locating device using x-ray with needle, first growth, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis before and after contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of blood vessels of head with contrast, Ct scan of blood vessels of neck with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of face without contrast, Ct scan of lower spine without contrast, Ct scan of middle spine without contrast, Ct scan of soft tissue of neck with contrast, Ct scan of upper spine without contrast, Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic mammography of 1 breast, Diagnostic mammography of 1 breast, Diagnostic mammography of both breasts, Diagnostic mammography of both breasts, Double contrast x-ray of upper digestive tract, Imaging for evaluation of swallowing function, Limited ultrasound scan behind abdominal cavity, Limited ultrasound scan of 1 breast, Limited ultrasound scan of 1 breast, Limited ultrasound scan of abdomen, Low dose ct scan of chest for lung cancer screening, Mri scan of abdomen before and after contrast, Mri scan of arm joint without contrast, Mri scan of both breasts, Mri scan of brain before and after contrast, Mri scan of leg joint without contrast, Mri scan of lower spinal canal without contrast, Nuclear medicine studies of heart muscle at rest and with stress and spect, Nuclear medicine study from skull base to mid-thigh with ct scan, Placement of locating device in breast using ultrasound guidance, first growth, Screening 3d breast mammography, Screening 3d breast mammography, Screening mammography, Screening mammography, Ultrasound study of one arm or leg veins with compression and maneuvers, X-ray of abdomen, 1 view, X-ray of abdomen, 2 views, X-ray of ankle, minimum of 3 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of foot, minimum of 3 views, X-ray of hand, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 4 or more views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of lower leg, 2 views, X-ray of pelvis, 1-2 views, X-ray of ribs on side of body, minimum of 3 views, X-ray of shoulder, minimum of 2 views, X-ray of surgical specimen, X-ray of wrist, minimum of 3 views and X-ray series of abdomen with single x-ray of chest.
The practitioner is affiliated to the following hospital(s): MUNSON HEALTHCARE GRAYLING HOSPITAL, MUNSON HEALTHCARE CADILLAC HOSPITAL, MUNSON MEDICAL CENTER, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL and MUNSON HEALTHCARE MANISTEE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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