2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1265494983 M.D.
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THEODORE JOHNSON, M.D.

Geriatric Medicine (Internal Medicine) Physician in ATLANTA, Georgia. 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
369
Medicare Part D claims · 44 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

THEODORE JOHNSON, M.D. reported a CMS MIPS final score of 92.2614/100 — above the 83.1 national average — and filed 369 Medicare Part D claims in 2023.

92.2614/100
MIPS score · +9 vs avg
369
Part D claims, 2023
95%
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.

THEODORE JOHNSON, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

92 Top 32% higher than 68% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Board certification likely (heuristic — not verified)

THEODORE JOHNSON, M.D. 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 THEODORE JOHNSON, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/06/2006

NPI 1265494983

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

369 92% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Georgia providers

Georgia providers

Geriatric Medicine (Internal Medicine) Physician share within Georgia

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Georgia

Medicare quality performance — MIPS

THEODORE JOHNSON, M.D.'s 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 92.2614/100 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).

THEODORE JOHNSON, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1365 CLIFTON RD NE, ATLANTA, GA, 30322, with a listed phone of (404) 778-3401. NPI 1265494983 was issued on 04/06/2006. 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 369 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $11K in drug spend, split 5% brand-name and 95% 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

1365 CLIFTON RD NE
ATLANTA, GA 30322

Provider Details

NPI 1265494983
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/06/2006

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THEODORE JOHNSON, M.D. 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.

THE EMORY CLINIC INC
ATLANTA, GA

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

Brand vs generic prescribing mix · Generic-heavy

THEODORE JOHNSON, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 369 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.

369
Total Claims
$11K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
703
Total Day Supply
20,128
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$3K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.34

Top Prescribed Drugs (Medicare Part D)

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

What THEODORE JOHNSON, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Sertraline Hcl
27
Donepezil Hcl
25
Memantine Hcl
24
Atorvastatin Calcium
23
Risperidone
17
Levothyroxine Sodium
14
Carbidopa-Levodopa
Carbidopa/Levodopa
13
Escitalopram Oxalate
13
Montelukast Sodium
13
Valsartan
11

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

Geriatric Medicine (Internal Medicine) Physician Overview

How THEODORE JOHNSON, M.D. fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

THEODORE JOHNSON, M.D.'s 369 claims are below the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Georgia

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

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THEODORE JOHNSON, M.D.'s specialty?
THEODORE JOHNSON, M.D. specializes in Geriatric Medicine (Internal Medicine) Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does THEODORE JOHNSON, M.D. prescribe under Medicare Part D?
In 2023, THEODORE JOHNSON, M.D. wrote 369 Medicare Part D claims totaling $11K in drug costs for 44 beneficiaries.
What is THEODORE JOHNSON, M.D.'s Medicare quality score?
THEODORE JOHNSON, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THEODORE JOHNSON, M.D. located?
THEODORE JOHNSON, M.D. is located at 1365 CLIFTON RD NE, ATLANTA, GA, 30322. Phone: (404) 778-3401.
What is THEODORE JOHNSON, M.D.'s NPI number?
THEODORE JOHNSON, M.D.'s National Provider Identifier (NPI) is 1265494983, issued on 04/06/2006.
Does THEODORE JOHNSON, M.D. prescribe more brand-name or generic drugs?
THEODORE JOHNSON, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $3K in brand drug costs.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does THEODORE JOHNSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THEODORE JOHNSON, M.D.'s most frequently prescribed drugs include Sertraline Hcl, Donepezil Hcl, Memantine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THEODORE JOHNSON, M.D. accept Medicare?
THEODORE JOHNSON, M.D. appears in CMS Medicare data with 369 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THEODORE JOHNSON, M.D.'s credentials?
THEODORE JOHNSON, M.D.'s NPI is 1265494983 with credentials M.D.. 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