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Dr. Terrell Yancy Johnson , MD

Internal Medicine โ€ข Worcester, MA

Active NPI 1376839563 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 5083342731 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

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083342731
Fax 7744422731
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

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: Umass Memorial Medical Group Inc. 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

Boston University School Of Medicine

Graduation Year

2011

Medicare patients

158 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $12,910 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $8,879 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 โ€“ by Provider and Service, 2024.

30-day fills

248 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

$1,267 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 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

2011

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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 Worcester and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Worcester, MA (2024, 243 clinicians with data). Median for this group: 468. Middle half: 231 to 683.

Fewer Medicare Part B services than 75% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,795 clinicians with data). Median for this group: 524. Middle half: 200 to 1,073.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Worcester, MA (2024, 243 clinicians with data). Median for this group: $47,005. Middle half: $22,251 to $72,069.

A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,795 clinicians with data). Median for this group: $50,126. Middle half: $19,685 to $96,485.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Internal Medicine in Worcester, MA (2024, 243 clinicians with data). Median for this group: $36,195. Middle half: $16,745 to $55,654.

A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,795 clinicians with data). Median for this group: $38,152. Middle half: $14,838 to $74,912.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: 319. Middle half: 61 to 3,185.

Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: 1,174. Middle half: 129 to 3,740.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: $40,855. Middle half: $1,827 to $224,930.

A lower Part D drug cost than 80% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: $103,819. Middle half: $9,088 to $319,703.

448 active clinicians are listed under Internal Medicine with a practice address in Worcester, MA (6,830 in Massachusetts).

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

Telehealth indicator in Worcester

16.3% of these 448 clinicians have the CMS telehealth indicator.

57.6% of these 448 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
118 101 $445.00 $74.09
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
31 31 $300.00 $56.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
22 21 $603.00 $109.81

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 ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 33 1,622 $163.38 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 23 434 $598.48 โ€”
Glipizide Glipizide 17 724 $64.12 โ€”
Gabapentin Gabapentin 16 497 $180.12 โ€”
Lisinopril Lisinopril 14 1,260 $43.52 โ€”
Metformin Hcl Er Metformin Hcl 14 623 $25.93 โ€”
Metoprolol Tartrate Metoprolol Tartrate 13 488 $67.04 โ€”
Clonidine Hcl Clonidine Hcl 13 364 $10.51 โ€”
Metformin Hcl Metformin Hcl 11 580 $82.21 โ€”
Mirtazapine Mirtazapine 11 372 $31.62 โ€”

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: 2023-08-08
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MA 257812

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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: Massachusetts Board of Registration in Medicine.
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 - INTERNAL MEDICINE

Medicare Enrollment ID

I20140530000239

Enrollment State Jurisdiction

MA

PECOS Control ID

6507089026

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

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Clinicians Sharing This Practice Address or Phone

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

40 listed
Victor Acosta-Rivera

Internal Medicine

NPI 1043876634
Dr. Elizabeth Aherne , DO

Internal Medicine

NPI 1184185902

Doctor of Osteopathic Medicine (D.O.)

Joyce Aydin

Nurse Practitioner

NPI 1497158141
Varun Ayyaswami

Internal Medicine

NPI 1306474432
Dr. Sonia Bagga , MD

Internal Medicine

NPI 1265497127

Doctor of Medicine (M.D.)

Jesse Battilana , CNP

Nurse Practitioner

NPI 1659935534

Certified Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ“
Updated Practice Location August 08, 2023

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083342731)

๐Ÿ“
Updated Business Mailing Address August 08, 2023

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Internal Medicine (license number reported to NPPES: MA 257812)

โœ…
NPI Profile Active April 16, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 16, 2014

Registered at 590 MAIN ST UNIT 205, WATERTOWN, MA 024722117 (Tel: 6177446008)

๐Ÿ“
Business Mailing Address (Initial Record) April 16, 2014

Registered at 590 MAIN ST UNIT 205, WATERTOWN, MA 024722117

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 16, 2014

Recorded as TERRELL JOHNSON, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2014

Internal Medicine (license number reported to NPPES: MA 248741)

๐ŸŸข
Initial NPI Registration & Enumeration June 26, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376839563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2011
Last Update: August 08, 2023
Sole Proprietor: Yes

Other Internal Medicine Providers in Worcester

All Internal Medicine Providers in Worcester

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.