Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Richard W Johnson , DPM

Podiatrist • St Augustine, FL

Active NPI 1477590248 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

200 Southpark Blvd, Ste 208
St Augustine, FL 320863129

Call 9048261900 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

200 Southpark Blvd
Ste 208

St Augustine, FL 320863129

Telephone 9048261900
Fax 9048261920
Organization at the Same NPPES Address or Phone
Medfund Llc Facility NPI 1841293982

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

CMS Doctors and Clinicians lists 1 group name: Coastal Foot And Ankle Wellness Center Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Temple University School Of Podiatric Medicine

Graduation Year

1996

Medicare patients

504 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $376,841 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $285,714 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

232 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

$1,601 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.

Open Payments general payments, program year 2024

All general payments: $577.32 across 5 records.

By nature of payment

  • Food and Beverage: $577.32 across 5 records.

Reporting-company totals (3 largest of 5)

  • Kerecis Limited: $150.00 across 1 record.
  • Paragon 28, Inc.: $147.73 across 1 record.
  • Bard Peripheral Vascular, Inc.: $133.77 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

30 years (graduated 1996)

CMS Doctors and Clinicians data list 1996 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, “Does 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 St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Podiatrist in Florida (2024, 472 clinicians with data). Median for this group: 1,481. Middle half: 683 to 2,876.

Too few clinicians listed under Podiatrist in St Augustine have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Podiatrist in Florida (2024, 472 clinicians with data). Median for this group: $107,237. Middle half: $46,617 to $193,052.

Too few clinicians listed under Podiatrist in St Augustine have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Podiatrist in Florida (2024, 472 clinicians with data). Median for this group: $78,335. Middle half: $34,335 to $143,577.

Too few clinicians listed under Podiatrist in St Augustine have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Podiatrist in Florida (2024, 414 clinicians with data). Median for this group: 195. Middle half: 66 to 396.

Too few clinicians listed under Podiatrist in St Augustine have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Podiatrist in Florida (2024, 414 clinicians with data). Median for this group: $3,118. Middle half: $981 to $10,021.

Too few clinicians listed under Podiatrist in St Augustine have Medicare Part D data for 2024 to compare.

9 active clinicians are listed under Podiatrist with a practice address in St Augustine, FL (769 in Florida).

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

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

Text: T-MedInfo · 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 · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $577.32.

Manufacturer Payment Nature Product Type Amount ($)
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis Omega3 SurgiClose General $150.00
Paragon 28, Inc.
Food and Beverage
Cash or cash equivalent
Hammertube Sterile Implant Kits General $147.73
Bard Peripheral Vascular, Inc.
Food and Beverage
In-kind items and services
Venclose Maven Catheter General $133.77
Penumbra, Inc.
Food and Beverage
Cash or cash equivalent
Penumbra System General $120.82
Next Science LLC
Food and Beverage
Cash or cash equivalent
Xperience General $25.00

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
1,165 348 $85.89 $45.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
987 322 $249.06 $131.05
17110 Destruction of skin growth, 1-14 growths
827 248 $216.49 $112.29
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
623 225 $176.23 $92.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
79 79 $326.85 $171.45
93923 Complete ultrasound study of arm and leg arteries
77 77 $245.17 $130.68
11042 Removal of skin and tissue, 20.0 sq cm or less
43 14 $248.44 $130.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31 31 $218.30 $115.02
20605 Aspiration and/or injection of fluid from medium joint
29 18 $111.94 $55.82
97597 Removal of tissue from wound, 20.0 sq cm or less
26 13 $191.77 $101.53
11720 Removal of fingernails or toenails, 1-5 nails
25 22 $63.29 $32.33
11730 Simple separation of fingernail or toenail from nail bed, first nail
22 22 $220.46 $109.08
11750 Permanent removal fingernail or toenail
15 14 $307.90 $162.67
11755 Biopsy of fingernail or toenail
12 11 $234.64 $113.52

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 41 3,180 $590.48 —
Meloxicam Meloxicam 40 1,326 $65.48 18
Terbinafine Hcl Terbinafine Hcl 32 960 $165.22 12
Prednisone Prednisone 21 252 $205.81 20
Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip 17 688 $574.23 11

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

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

License # reported to NPPES FL PO2829

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
340246100 (FL)
Other Identifier Medicare - Dme
6326530001 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - PODIATRY

Medicare Enrollment ID

I20100320000279

Enrollment State Jurisdiction

FL

PECOS Control ID

1254476773

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Coastal Foot And Ankle Wellness Center Llc

3805 Crill Ave, Palatka, FL 321779170

Phone: 3863281122

Clinicians Sharing This Practice Address or Phone

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

2 listed
NPI 1992742142

Doctor of Podiatric Medicine

Roman Ivankiv

Podiatrist - Foot Surgery

NPI 1528517331

Career & Practice History

NPI enumerated June 01, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1477590248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: April 06, 2010
Sole Proprietor: No

Other Podiatrists in St Augustine

Healthcare providers in St Augustine

Mailing Address

200 Southpark Blvd, Ste 208

St Augustine, FL 320863129

Phone: 9048261900

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.