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Dr. Jacob Johnson , DMD

Dentist - General Practice β€’ Sanford, FL

Active NPI 1982063228 Individual Practitioner Male Practitioner
Practice location in NPPES

4930 E Lake Mary Blvd
Sanford, FL 327715003

Call 4073228645 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4930 E Lake Mary Blvd

Sanford, FL 327715003

Telephone 4073228645
Organization at the Same NPPES Address or Phone
Central Florida Family Health Center Inc Facility NPI 1396746988

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mesa, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

11 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$19 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.45 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sanford and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Dentist - General Practice in Sanford, FL (2024, 11 clinicians with data). Median for this group: 69. Middle half: 26 to 158.

Fewer Part D prescriptions than 95% of clinicians listed under Dentist - General Practice in Florida (2024, 3,880 clinicians with data). Median for this group: 59. Middle half: 28 to 120.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Sanford, FL (2024, 11 clinicians with data). Median for this group: $174. Middle half: $93 to $554.

A lower Part D drug cost than 95% of clinicians listed under Dentist - General Practice in Florida (2024, 3,880 clinicians with data). Median for this group: $201. Middle half: $87 to $452.

20 active clinicians are listed under Dentist - General Practice with a practice address in Sanford, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sanford

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $21.45.

Manufacturer Payment Nature Product Type Amount ($)
PATTERSON COMPANIES, INC.
Food and Beverage
Cash or cash equivalent
β€” General $21.45

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ibuprofen Ibuprofen 11 53 $19.01 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL HAD110

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORAL SURGERY

Medicare Enrollment ID

I20160824001263

Enrollment State Jurisdiction

TX

PECOS Control ID

6507151974

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

5850 E Still Cir

Mesa, AZ 852063618

Phone: 4802196000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

38 listed
Noleene Allen

Nurse Practitioner - Family

NPI 1235659129
Jennifer Antoine , APRN

Nurse Practitioner - Family

NPI 1346756897

Advanced Practice Registered Nurse

Marcell Bailey , APRN

Nurse Practitioner - Family

NPI 1093349433

Advanced Practice Registered Nurse

Dr. Daniel Bieda , DO

Family Medicine

NPI 1073518437

Doctor of Osteopathic Medicine (D.O.)

Dr. Earl Brewster , MD

Obstetrics & Gynecology

NPI 1356513261

Doctor of Medicine (M.D.)

Isis Bucci , ARNP

Nurse Practitioner - Family

NPI 1851640510

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 21, 2021

Registered at 4930 E LAKE MARY BLVD, SANFORD, FL 327715003 (Tel: 4073228645)

πŸ“
Updated Business Mailing Address June 21, 2021

Registered at 4930 E LAKE MARY BLVD, SANFORD, FL 327715003 (Tel: 4073228645)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Dentist (license number reported to NPPES: FL HAD110)

βœ…
NPI Profile Active February 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 15, 2016

Registered at 5850 E STILL CIR, MESA, AZ 852063618 (Tel: 4802196000)

πŸ“
Business Mailing Address (Initial Record) February 15, 2016

Registered at 5850 E STILL CIR, MESA, AZ 852063618 (Tel: 4802196000)

πŸ‘€
Provider Name / Credentials (Initial Record) February 15, 2016

Recorded as JACOB JOHNSON, D.M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 15, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982063228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2016
Last Update: June 21, 2021
Sole Proprietor: Yes

Other Dentist - General Practices in Sanford

All Dentist - General Practices in Sanford

Mailing Address

4930 E Lake Mary Blvd

Sanford, FL 327715003

Phone: 4073228645

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.