Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Audrey Elizabeth Johnson , MD

Pediatrics β€’ Prosper, TX

Active NPI 1821230392 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4300 W University Dr Ste 10
Prosper, TX 750789806

Call 6823038050 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

4300 W University Dr Ste 10

Prosper, TX 750789806

Telephone 6823038050
Organization at the Same NPPES Address or Phone
Cook Children's Physician Network Facility NPI 1083472062

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: Cook Childrens Physician Network. 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

2009

Industry payments (Open Payments)

Fewer than 11 payment records totaling $12.06 in 2020

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 2020.

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 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

2009

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, 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 Prosper and Texas

21 active clinicians are listed under Pediatrics with a practice address in Prosper, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Prosper

0% of these 21 clinicians have the CMS telehealth indicator.

4.8% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2020), 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 2020
Disclosure Year:

Program year 2020 (payments made January 1 – December 31, 2020): fewer than 11 records totaling $12.06.

Manufacturer Payment Nature Product Type Amount ($)
Cranial Technologies, Inc
Food and Beverage
Cash or cash equivalent
Doc Band General $12.06

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX P2877

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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: Texas Medical Board.
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 - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20190824000516

Enrollment State Jurisdiction

TX

PECOS Control ID

7113255423

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

Cook Childrens Physician Network

4300 W University Dr, Prosper, TX 750789806

Phone: 6823038050

Cook Childrens Physician Network

136 El Chico Trl, Willow Park, TX 760878864

Phone: 8174415412

Career & Practice History Timeline

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

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Pediatrics (license number reported to NPPES: TX P2877)

πŸ“
Updated Practice Location October 11, 2019

Registered at 4300 W UNIVERSITY DR STE 10, PROSPER, TX 750789806 (Tel: 6823038050)

πŸ“
Updated Business Mailing Address October 11, 2019

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828851855)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 17, 2012

Registered at 6587 VIRGINIA PKWY, MCKINNEY, TX 750715511 (Tel: 9725488382)

πŸ“
Business Mailing Address (Initial Record) September 17, 2012

Registered at 6587 VIRGINIA PKWY, MCKINNEY, TX 750715511 (Tel: 9725488382)

πŸ‘€
Provider Name / Credentials (Initial Record) September 17, 2012

Recorded as AUDREY JOHNSON, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Pediatrics (license number reported to NPPES: TX P2877)

🟒
Initial NPI Registration & Enumeration March 30, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1821230392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2009
Last Update: April 09, 2021
Sole Proprietor: No

Mailing Address

Po Box 733784

Dallas, TX 753733784

Phone: 6828851855

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.