Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Matthew Michael Johnson, DO

Individual provider Psychiatry Physician · NPI 1396173746

Matthew Michael Johnson, DO practises Psychiatry in Fridley, Minnesota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with Broadlawns Medical Center, a 306-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MN
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

520 Osborne Rd NE Ste 210
Fridley, MN 55432-2718
Phone: (763) 236-3800
Fax: (763) 236-3821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 78037 (MN)

Record details

NPI number1396173746
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 23, 2013
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice Broadlawns Medical Center — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 42 a service is one billed item, such as a visit, a test or a procedure
Average patient age62

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Mercy Hospital Hospital · Coon Rapids, MN

Colleagues at Broadlawns Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 306 clinicians in the practice; 12 are shown here.

Other providers in Fridley