2026 NPPES data General Practice Physician NPI 1215966528 MD
Verify on CMS →

HELENE JOHNSON, MD

General Practice Physician in NILES, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 78 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: HELENE JOHNSON, MD is a General Practice Physician ([object Object]) practicing in NILES, Michigan with a Medicare Part D prescribing footprint of 1K claims across 78 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: HELENE JOHNSON, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,216 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HELENE JOHNSON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

HELENE JOHNSON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/30/2006

NPI 1215966528

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

1,216 58% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Michigan

How General Practice Physician compares to other specialties among Michigan providers

Michigan providers

General Practice Physician share within Michigan

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Michigan

Medicare quality performance — MIPS

HELENE JOHNSON, MD's 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (General Practice Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

HELENE JOHNSON, MD is a General Practice Physician provider practicing in NILES, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1215966528. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HELENE JOHNSON, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 42 N SAINT JOSEPH AVE, NILES, MI, 49120, with a listed phone of (269) 687-0808. NPI 1215966528 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JOHNSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,216 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $52K in drug spend, split 10% brand-name and 90% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 87.5432), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

42 N SAINT JOSEPH AVE
NILES, MI 49120

Provider Details

NPI 1215966528
Specialty General Practice Physician
Credentials MD
Gender Female
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
87.5432
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HELENE JOHNSON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

LAKELAND MEDICAL PRACTICES
BRIDGMAN, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to HELENE JOHNSON, MD. To verify HELENE JOHNSON, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HELENE JOHNSON, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,216 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,216
Total Claims
$52K
Total Drug Cost
78
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,266
Total Day Supply
26,555
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$26K
Generic Drug Cost
$25K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
79.4 years
Avg HCC Risk Score
2.58
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Sertraline Hcl
71
Atorvastatin Calcium
53
Pantoprazole Sodium
53
Levothyroxine Sodium
48
Clopidogrel
Clopidogrel Bisulfate
44
Lamotrigine
43
Metoprolol Tartrate
40
Lisinopril
37
Amlodipine Besylate
30
Escitalopram Oxalate
30

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How HELENE JOHNSON, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

HELENE JOHNSON, MD's 1,216 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as JOHNSON.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HELENE JOHNSON, MD's specialty?
HELENE JOHNSON, MD specializes in General Practice Physician and practices in NILES, Michigan. Credentials: MD.
How much does HELENE JOHNSON, MD prescribe under Medicare Part D?
In 2023, HELENE JOHNSON, MD wrote 1,216 Medicare Part D claims totaling $52K in drug costs for 78 beneficiaries.
What is HELENE JOHNSON, MD's Medicare quality score?
HELENE JOHNSON, MD has a CMS MIPS Final Score of 100/100 (Quality: 87.5432). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HELENE JOHNSON, MD located?
HELENE JOHNSON, MD is located at 42 N SAINT JOSEPH AVE, NILES, MI, 49120. Phone: (269) 687-0808.
What is HELENE JOHNSON, MD's NPI number?
HELENE JOHNSON, MD's National Provider Identifier (NPI) is 1215966528, issued on 06/30/2006.
Does HELENE JOHNSON, MD prescribe more brand-name or generic drugs?
HELENE JOHNSON, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $26K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does HELENE JOHNSON, MD prescribe most often?
Based on 2023 Medicare Part D data, HELENE JOHNSON, MD's most frequently prescribed drugs include Sertraline Hcl, Atorvastatin Calcium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HELENE JOHNSON, MD accept Medicare?
HELENE JOHNSON, MD appears in CMS Medicare data with 1,216 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HELENE JOHNSON, MD's credentials?
HELENE JOHNSON, MD's NPI is 1215966528 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology