Doctor profile · Federal record

Dr. Mary Johnson, PA-C

Physician Assistant · Physician Assistant · Saint Louis, MO

  • NPI 1992944904
  • Accepts Medicare
  • MIPS 75.0 / 100 · 2023
  • 17 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1040 N Mason RD, Suite 103
Saint Louis, MO 631416399
(314) 469-7246
Mailing address
1352 Culpepper Ridge Dr
Ballwin, MO 630217527

Credentials & registration

NPPES · NUCC
NPI registered
February 2009 — 17 yrs on file
Profile last updated
July 21, 2010
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Illinois #085003419 · Missouri #2009001275

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1992944904. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
323
Distinct HCPCS
6
Medicare allowed
$22,268
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 212 111 $74
99203 New patient office or other outpatient visit, 30-44 minutes 48 48 $93
73564 X-ray of knee, 4 or more views 21 21 $42
73630 X-ray of foot, minimum of 3 views 16 16 $27
73030 X-ray of shoulder, minimum of 2 views 14 14 $27
72100 X-ray of lower and sacral spine, 2-3 views 12 12 $33

In context: peer comparison

Among 118 peers in this city , average services per provider: 87. This provider delivers 3.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$31
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Organogenesis Inc. 2 $31.08

By nature of payment

Food and Beverage
$31

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
44
Patients
41
Total drug cost
$151
Drug Type Claims Patients Total cost
Meloxicam Generic 31 28 $57
Methylprednisolone Generic 13 13 $94

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary Johnson's medical specialty?
Dr. Mary Johnson practices Physician Assistant in Saint Louis, MO.
Where does Dr. Mary Johnson practice?
Dr. Mary Johnson practices at 1040 N Mason RD, Saint Louis, MO 631416399. Office phone: 3144697246.
What is Dr. Mary Johnson's NPI?
Dr. Mary Johnson's National Provider Identifier (NPI) is 1992944904, issued by NPPES.
Does Dr. Mary Johnson accept Medicare assignment?
Yes. Dr. Mary Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Johnson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); X-ray of knee, 4 or more views (HCPCS 73564). Source: CMS Medicare Physician & Other Practitioners file.