NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1235794322
Verify on CMS → Jesse Johnson
Hospitalist Physician in Paoli, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,938 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
120
Medicare Part D claims · 21 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
0%
generic claims · 70% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.0K
33 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jesse Johnson filed 120 Medicare Part D claims in 2023 as a Hospitalist Physician in Paoli, Pennsylvania, prescribing 0% generic.
- 120
- Part D claims, 2023
- 0%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Jesse Johnson's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
120 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Jesse Johnson practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jesse Johnson?
Quality data not reportedPrimary specialty
Hospitalist Physician
Medicare Part D claims
120 86% vs specialty avg
Specialty distribution in Pennsylvania
How Hospitalist Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Hospitalist Physician. Verify directly:
How MIPS and board certification work
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).
Jesse Johnson appears in the CMS NPPES registry as a Hospitalist Physician provider at 255 W LANCASTER AVE, Paoli, PA, 19301, with a listed phone of (484) 565-1510. NPI 1235794322 was issued on 05/05/2019.
Medicare Part D records for calendar year 2023 show 120 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $70K in drug spend, split 70% brand-name and 0% generic by claim count.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,938 enrolled providers across 54 states and an average of 888 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
Provider Details
| NPI | 1235794322 |
|---|---|
| Specialty | Hospitalist Physician |
| Gender | Male |
| NPI Issued | 05/05/2019 |
Hospital and facility affiliations
Facilities where Jesse Johnson 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.
Luminis Health Medical Group, LLC
Annapolis, MD
Main Line Healthcare
Paoli, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Jesse Johnson. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
AstraZeneca Pharmaceuticals LP
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Jesse Johnson. To verify Jesse Johnson's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Jesse Johnson - brand share 70.0%
Hospitalist Physician average
70% brand-name claims vs 0% generic, on 120 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.
120
Total Claims
$70K
Total Drug Cost
21
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 138
- Total Day Supply
- 3,734
- Brand vs Generic
- 70% brand / 0% generic
- Brand Drug Cost
- $69K
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 2.30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jesse Johnson prescribes most
Top Medicare Part D drugs by claim count, 2023
- Incruse Ellipta
Incruse Ellipta
22 claims
- Anoro Ellipta
Anoro Ellipta
17 claims
- Symbicort
Symbicort
14 claims
- Ventolin Hfa
Ventolin Hfa
13 claims
| Drug | Claims |
|---|---|
| Incruse Ellipta Umeclidinium Bromide | 22 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 17 |
| Symbicort Budesonide/Formoterol Fumarate | 14 |
| Ventolin Hfa Albuterol Sulfate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Jesse Johnson fits within the Hospitalist Physician landscape nationally.
16,938
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Jesse Johnson's 120 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Johnson.
Dr. Mohamed Abdelnaby
MD
Allentown, PA
Dr. Waheed Abdul
MD
Wilkes Barre, PA
Dr. Fnu Abhishek
MD
Greensburg, PA
Dr. Andrew Abouzeid
DO
Hershey, PA
Dr. Bharat Adroja
M.D.
Lock Haven, PA
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Jesse Johnson's specialty? ▼
Jesse Johnson specializes in Hospitalist Physician and practices in Paoli, Pennsylvania.
How much does Jesse Johnson prescribe under Medicare Part D? ▼
In 2023, Jesse Johnson wrote 120 Medicare Part D claims totaling $70K in drug costs for 21 beneficiaries.
Where is Jesse Johnson located? ▼
Jesse Johnson is located at 255 W LANCASTER AVE, Paoli, PA, 19301. Phone: (484) 565-1510.
What is Jesse Johnson's NPI number? ▼
Jesse Johnson's National Provider Identifier (NPI) is 1235794322, issued on 05/05/2019.
Does Jesse Johnson prescribe more brand-name or generic drugs? ▼
Jesse Johnson's prescribing is 70% brand-name and 0% generic drugs by claim count, with $69K in brand drug costs.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,938 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Jesse Johnson prescribe most often? ▼
Based on 2023 Medicare Part D data, Jesse Johnson's most frequently prescribed drugs include Incruse Ellipta, Anoro Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jesse Johnson accept Medicare? ▼
Jesse Johnson appears in CMS Medicare data with 120 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jesse Johnson's credentials? ▼
Jesse Johnson's NPI is 1235794322. 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.