NPPES file of Aug 9, 2026

Helene M. Johnson, MD

General Practice Physician · Niles, MI

Helene M. Johnson, MD is a general practice physician with a practice address in Niles, Michigan, and NPI 1215966528, issued on Jun 30, 2006. Check the license (Michigan 4301030791, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215966528
Name
Helene M. Johnson
Credential
MD
Primary taxonomy
General Practice Physician 208D00000X
License number
4301030791 MI
Self-reported in NPPES; status is on the state search
Practice location
42 N Saint Joseph Ave, Niles, MI 49120
Phone
(269) 687-0808
Enumerated
Jun 30, 2006
Record last updated
Mar 7, 2023
Fax
(269) 687-0811
Medicare enrollment
Enrolled (PECOS I20031204000425); accepts Medicare assignment
Medical or professional school
University Of California, San Francisco School Of Medicine, 1971
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 42 N Saint Joseph Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brian Bates, M.D.Surgery Physician1558317446
  2. Nitin ChilukuriSurgery Physician1437787017
  3. Laurie Gee, NPObstetrics & Gynecology Nurse Practitioner1033442421
  4. Jill Gorsuch, DO, MPHSurgery Physician1851523377
  5. Laurence Habenicht, M.D.Specialist1851363618
  6. Kenneth Kaufmann, M.D.Obstetrics & Gynecology Physician1083925119

Verify Helene M. Johnson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 4301030791
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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82% fewer Medicare Part D claims than the average general practice physician in 2024

531 Medicare Part D claims for 36 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.

  1. Helene Johnson531
  2. Specialty average3,030

Most prescribed

  1. Clopidogrel26 claims
  2. Sertraline Hcl25 claims
  3. Atorvastatin Calcium22 claims
  4. Pantoprazole Sodium21 claims
  5. Allopurinol16 claims
  6. Lisinopril16 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score87.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Lakeland Medical PracticesBridgman, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Helene M. Johnson among 369 general practice physician records in Michigan

Helene M. Johnson, MD is one of 369 general practice physician records with a practice address in Michigan. 49% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 64% newer
  • In a Medicare fileYes · 49% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated1971 · median 2001 among the 98 with a school on file
  • Record last updated2023 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

General Practice Physician providers in Michigan

There are 369 general practice physician records in Michigan.

The 8 general practice physician records with the nearest ZIP codes

  1. Ronald Kissel, M.D.Niles, MI 491201851484356
  2. Brandon Smeltzer, DONiles, MI 491201558894998
  3. Richard Hirschler, MDStevensville, MI 491271033147558
  4. Kevin Seo, MDBerrien Springs, MI 491031336340975
  5. Stephen Schauer, MDThree Rivers, MI 490931447205125
  6. Marcus Free, M.D.Saint Joseph, MI 490851790949097
  7. Sarah Gendernalik, DOSt Joseph, MI 490851316141195
  8. Bruce Larva, M.D.Saint Joseph, MI 490851720398563

Common questions

What is Helene M. Johnson, MD's NPI number?

Helene M. Johnson, MD's National Provider Identifier (NPI) is 1215966528, issued on Jun 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Helene M. Johnson, MD located?

The NPPES record lists a practice address at 42 N Saint Joseph Ave, Niles, MI, 49120. Phone: (269) 687-0808. Providers update this record themselves, so call before visiting.

How can I verify Helene M. Johnson, MD's license?

NPPES lists Michigan license number 4301030791, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Helene M. Johnson, MD prescribe under Medicare Part D?

In 2024, Helene M. Johnson, MD had 531 Medicare Part D claims for 36 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.

What is Helene M. Johnson, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.