2026 NPPES data Pediatric Rehabilitation Medicine Physician NPI 1659445989 MD
Verify on CMS →

Julie Johnson, MD

Pediatric Rehabilitation Medicine Physician in Sioux Falls, South Dakota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 398 in Pediatric Rehabilitation Medicine 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
92
Medicare Part D claims · 19 beneficiaries · Pediatric Rehabilitation Medicine Physician avg: 241
MIPS score
78/100
▼ 6 pts below national avg 83.5 · Above neutral

What the federal data shows

Julie Johnson, MD reported a CMS MIPS final score of 78/100 - below the 83.5 national average - and filed 92 Medicare Part D claims in 2024.

78/100
MIPS score · -6 vs avg
92
Part D claims, 2024
Likely
board-certified (heuristic)
≥20th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Julie Johnson, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1659445989), first enumerated 11/20/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 92 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 78/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Johnson with other Pediatric Rehabilitation Medicine Physician providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in South Dakota

Other specialties in Sioux Falls: Pharmacist (368) · Student in an Organized Health Care Education/Training Program (339) · Family Nurse Practitioner (298) · Physical Therapist (284)

Pediatric Rehabilitation Medicine Physician state by state →

CMS NPPES provider registry desk

NPI 1659445989 · Pediatric Rehabilitation Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1659445989
  • ENUM-LEGACY 2006
  • TAX-TRACE 398
  • MIPS-BELOW 78/100
  • RX-TRACE 92
  • BOOK-THIN 2 in South Dakota
  • PHOTO-FINISH Alyssa Breaugh-Shoup… · ±0.5

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Julie Johnson, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

78 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Julie Johnson, MD sits

This provider among pediatric rehabilitation medicine physician peers

Across the 17 pediatric rehabilitation medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Julie Johnson, MD writes more Part D claims than 82% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.749.474.098.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 94Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 94Point, Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 56Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 6Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 44Point, Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 6Point, Part D claim volume, percentile in specialty: 19 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 31Julie Johnson, MD, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 18
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatric rehabilitation medicine physician peer from a representative sample of 16; the gold marker is Julie Johnson, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Julie 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).

What does the federal data show about Julie Johnson, MD?

Below national average

NPI registry status

Active

Issued 11/20/2006

NPI 1659445989

Primary specialty

Pediatric Rehabilitation Medicine Physician

Rare

398 US NPIs in this specialty

Medicare Part D claims

92 62% vs specialty avg

2024 prescription claims

Specialty avg: 241

MIPS final score

78/100 5.5 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in South Dakota

How Pediatric Rehabilitation Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers
Physical Therapist5.6%Pharmacist5.4%Registered Nurse5.1%Family Nurse Practitioner4.6%Mental Health Counselor4%Physician Assistant3.6%Pediatric Rehabilitation Med…0%
Largest specialties in South Dakota (% of in-state providers)

Medicare quality performance, MIPS

Julie Johnson, MD's 2023 MIPS final score plotted against the Pediatric Rehabilitation Medicine Physician national average

Below national average
MIPS Final Score
78/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%78%
MIPS final score (Pediatric Rehabilitation Medicine Physician) - 78/100 vs national avg 83.5
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).

Practice Address

1600 W 22ND ST
Sioux Falls, SD 57105

Provider Details

NPI 1659445989
Specialty Pediatric Rehabilitation Medicine Physician
Credentials MD
Gender Female
NPI Issued 11/20/2006

CMS Quality Score (MIPS)

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

77.9984
Final Score
Measured-score avg: 83.5
80.1358
Quality
47.3589
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Julie 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.

Sanford Clinic
Sioux Falls, SD

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

92
Total Claims
$13K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
96
Total Day Supply
2,586
Generic Drug Cost
$674

Patient Demographics

Average Patient Age
55.4 years
Avg HCC Risk Score
1.44

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Diazepam
32
Baclofen
28

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

Pediatric Rehabilitation Medicine Physician Overview

How Julie Johnson, MD fits within the Pediatric Rehabilitation Medicine Physician landscape nationally.

398
Pediatric Rehabilitation Medicine Physician Providers in US
44
States with Pediatric Rehabilitation Medicine Physician
241
Avg Claims per Provider

Julie Johnson, MD's 92 claims are below the specialty average of 241.

Nationwide Pediatric Rehabilitation Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Johnson, both outside South Dakota so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (78 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Frequently Asked Questions

What is Julie Johnson, MD's specialty? ▼
Julie Johnson, MD specializes in Pediatric Rehabilitation Medicine Physician and practices in Sioux Falls, South Dakota. Credentials: MD.
How much does Julie Johnson, MD prescribe under Medicare Part D? ▼
In 2024, Julie Johnson, MD wrote 92 Medicare Part D claims totaling $13K in drug costs for 19 beneficiaries.
What is Julie Johnson, MD's Medicare quality score? ▼
Julie Johnson, MD has a CMS MIPS Final Score of 78/100 (Quality: 80.1, Cost: 47.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Julie Johnson, MD located? ▼
Julie Johnson, MD is located at 1600 W 22ND ST, Sioux Falls, SD, 57105. Phone: (605) 312-1000.
What is Julie Johnson, MD's NPI number? ▼
Julie Johnson, MD's National Provider Identifier (NPI) is 1659445989, issued on 11/20/2006.
How many Pediatric Rehabilitation Medicine Physician providers are there in the US? ▼
There are 398 Pediatric Rehabilitation Medicine Physician providers across 44 states in the US. The average Pediatric Rehabilitation Medicine Physician provider writes 241 Medicare Part D claims per year.
What drugs does Julie Johnson, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Julie Johnson, MD's most frequently prescribed drugs include Diazepam, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julie Johnson, MD accept Medicare? ▼
Julie Johnson, MD appears in CMS Medicare data with 92 Part D claims and 19 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julie Johnson, MD's credentials? ▼
Julie Johnson, MD's NPI is 1659445989 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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

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 August 2026.