Wallace Scott Johnson (NPI# 1346209020, PAC ID# 5496871584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346209020 |
| PAC ID by PECOS | 5496871584 |
| Professional Enrollment ID | I20100927000490 |
| Full Name | Wallace Scott Johnson |
| Organization Legal Name | AVERA MCKENNAN |
| Address |
702 10th Worthington MN 56187 |
| Phone Number | 5073765535 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0345157103 |
| Number of Group Practice Members | 682 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 702 10th, Worthington, MN 56187 | 5073765535 | AVERA MCKENNAN |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 30% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 30% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | AVERA MCKENNAN |
| Physicians | 732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex J Linn | Neurology | Avera Mckennan | 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105-1032 |
| Kellie G Den Hartog | Physician Assistant | Avera Mckennan | 324 1st Ave N, Good Samaritan Society George, George, IA 51237-1029 |
| Kimberly S Metzger | Nurse Practitioner | Avera Mckennan | 1100 S 10th Ave, 100 Avera Medical Group Rock Rapids, Rock Rapids, IA 51246-2020 |
| Teresa A Jatczak | Nurse Practitioner | Avera Mckennan | 4500 N Lewis Ave, Avera Medical Group, Sioux Falls, SD 57104-7111 |
| Renju Vechurettu Raj | Hematology/oncology | Avera Mckennan | 1000 E 23rd St, Suite 200, Sioux Falls, SD 57105-2122 |
| Denise D Roemen-kramer | Nurse Practitioner | Avera Mckennan | 101 S Front St, Chamberlain, SD 57325-1612 |
| Samantha M Van Gorp | Nurse Practitioner | Avera Mckennan | 600 9th Ave N, Osceola Community Hospital Cl, Sibley, IA 51249-1012 |
| Stephanie M Nwala | Physician Assistant | Avera Mckennan | 820 2nd Ave N, Windom, MN 56101-1761 |
| Christine Pocha | General Surgery | Avera Mckennan | 1315 S Cliff Ave, Suite 1100, Sioux Falls, SD 57105-1057 |
| Holly Jensen | Nurse Practitioner | Avera Mckennan | 1200 1st Ave E, Spencer Municipal Hospital, Spencer, IA 51301-4330 |
| Street Address |
702 10TH |
| City | WORTHINGTON |
| State | MN |
| Zip | 56187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lezlie Pearl Jones | Optometry | Avera Mckennan | 702 10th, Worthington, MN 56187 |
| Roger Dean Johnson | Optometry | Avera Mckennan | 702 10th, Worthington, MN 56187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tomasz P Lis | Family Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Rachael Dekker | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Lisa R Milbrandt | Physician Assistant | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Madeline Z Luke | Internal Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Jonathan H Pap | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| William M Welch | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Chalermkiat T Thanasawat | Internal Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Kelli K Hinsch | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Holly M Klink | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Nicole L Block | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Find all physicians in zip 56187 | |||
| City | WORTHINGTON |
| Zip Code | 56187 |
| Specialty | OPTOMETRY |
| City + Specialty | WORTHINGTON + OPTOMETRY |
Please comment or provide details below to improve the information on Wallace Scott Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.