Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

David E Johnson , ANP

Nurse Practitioner • Maryville, IL

Active NPI 1477742047 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

6812 State Route 162 Ste 21
Maryville, IL 620628565

Call 6182885566 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

6812 State Route 162 Ste 21

Maryville, IL 620628565

Telephone 6182885566
Fax 6182884005
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Maryville, IL. See the list

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

CMS Doctors and Clinicians lists 1 group name: Anderson Medical Group 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

Graduation Year

2000

Medicare patients

294 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 $46,360 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 $26,355 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

18,361 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

$577,145 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 2025

All general payments: $82.06 across 4 records.

By nature of payment

  • Food and Beverage: $82.06 across 4 records.

Reporting-company totals

  • HEARTFLOW, INC.: $64.52 across 3 records.
  • ABBVIE INC.: $17.54 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 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 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

2007

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)

David 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 David 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 Maryville and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.

Too few clinicians listed under Nurse Practitioner in Maryville have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.

Too few clinicians listed under Nurse Practitioner in Maryville have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.

Too few clinicians listed under Nurse Practitioner in Maryville have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Maryville, IL (2024, 11 clinicians with data). Median for this group: 582. Middle half: 223 to 2,720.

More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Maryville, IL (2024, 11 clinicians with data). Median for this group: $62,409. Middle half: $7,026 to $419,505.

A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.

13 active clinicians are listed under Nurse Practitioner with a practice address in Maryville, IL (4,894 in Illinois).

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

Telehealth indicator in Maryville

7.7% of these 13 clinicians have the CMS telehealth indicator.

92.3% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $82.06.

Manufacturer Payment Nature Product Type Amount ($)
HEARTFLOW, INC.
Food and Beverage
Cash or cash equivalent
FFRct General $27.72
HEARTFLOW, INC.
Food and Beverage
Cash or cash equivalent
FFRct General $18.80
HEARTFLOW, INC.
Food and Beverage
Cash or cash equivalent
FFRct General $18.00
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $17.54

Source: CMS Open Payments, program year 2025, 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
275 199 $273.00 $106.26
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
180 132 $185.00 $75.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
34 34 $296.00 $106.53

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
Atorvastatin Calcium Atorvastatin Calcium 468 40,425 $5,157.08 176
Lisinopril Lisinopril 368 31,371 $2,405.29 129
Amlodipine Besylate Amlodipine Besylate 359 29,708 $2,487.51 131
Levothyroxine Sodium Levothyroxine Sodium 350 31,259 $5,433.28 119
Rosuvastatin Calcium Rosuvastatin Calcium 285 25,786 $3,568.71 103
Metformin Hcl Metformin Hcl 282 25,054 $1,629.65 101
Losartan Potassium Losartan Potassium 227 19,317 $2,174.91 79
Omeprazole Omeprazole 215 18,412 $3,472.63 81
Gabapentin Gabapentin 167 10,006 $2,489.80 51
Pantoprazole Sodium Pantoprazole Sodium 166 14,337 $2,179.68 63
Hydrochlorothiazide Hydrochlorothiazide 144 12,400 $780.22 46
Trazodone Hcl Trazodone Hcl 137 9,100 $1,067.35 43
Simvastatin Simvastatin 133 12,067 $1,121.71 48
Furosemide Furosemide 133 9,241 $667.07 47
Pravastatin Sodium Pravastatin Sodium 128 11,550 $1,435.59 44
Metoprolol Succinate Metoprolol Succinate 126 10,150 $1,644.89 43
Potassium Chloride Potassium Chloride 125 9,569 $4,829.67 43
Tamsulosin Hcl Tamsulosin Hcl 121 9,054 $1,771.62 43
Albuterol Sulfate Hfa Albuterol Sulfate 110 3,306 $2,685.49 44
Eliquis Apixaban 108 4,665 $91,377.55 21
Metoprolol Tartrate Metoprolol Tartrate 98 7,756 $550.99 36
Meloxicam Meloxicam 83 5,280 $235.16 30
Ezetimibe Ezetimibe 83 7,510 $1,445.62 29
Carvedilol Carvedilol 73 6,085 $541.55 27
Allopurinol Allopurinol 71 6,085 $802.69 28

(top 25 shown)

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: 2024-08-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209-004434

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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: Illinois Department of Financial and Professional Regulation.
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 - NURSE PRACTITIONER

Medicare Enrollment ID

I20071025000520

Enrollment State Jurisdiction

IL

PECOS Control ID

8921195736

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) 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

Anderson Medical Group Llc

2090 Vadalabene Dr, Maryville, IL 620625841

Phone: 6182885430

Secondary Practice Locations

2090 Uadalabene Drive

Maryville, IL 62062

Phone: 6182885430

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
Dr. Rodney Greeling , DO

Internal Medicine

NPI 1700960572

Doctor of Osteopathic Medicine (D.O.)

Dr. Eddie Paulk , DO

Internal Medicine

NPI 1003813601

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 28, 2024

Registered at 6812 STATE ROUTE 162 STE 21, MARYVILLE, IL 620628565 (Tel: 6182885566)

📍
Updated Practice Location April 17, 2020

Registered at 2090 UADALABENE DRIVE, MARYVILLE, IL 62062 (Tel: 6182885430)

📍
Updated Business Mailing Address April 17, 2020

Registered at 6810 STATE ROUTE 162 BOX 215, MARYVILLE, IL 620628501 (Tel: 6183916405)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2020

Nurse Practitioner (license number reported to NPPES: IL 209-004434)

âś…
NPI Profile Active February 19, 2008

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 19, 2008

Registered at 2118 VADALABENE DR, MARYVILLE, IL 620625632 (Tel: 6182885430)

📍
Business Mailing Address (Initial Record) February 19, 2008

Registered at 1836 LACKLAND HILL PKWY, ATTN CREDENTIALING, SAINT LOUIS, MO 631463572 (Tel: 3149890300)

👤
Provider Name / Credentials (Initial Record) February 19, 2008

Recorded as DAVID JOHNSON, ANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Nurse Practitioner

🟢
Initial NPI Registration & Enumeration October 19, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1477742047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2007
Last Update: August 28, 2024
Sole Proprietor: No

Other Nurse Practitioners in Maryville

All Nurse Practitioners in Maryville

Mailing Address

6810 State Route 162 Box 215

Maryville, IL 620628501

Phone: 6183916405

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.