RICHARD KEITH JOHNSON (MD) – Surgery Physician, NPI 1669494175
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
246 GENERAL SURGERY in MS
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Provider Addresses for RICHARD KEITH JOHNSON (MD)
1023 MEDICAL CENTER PKWY STE 311
SELMA, AL 367017740
Phone: (334) 418-6652
Fax: (833) 645-0184
Type: Mailing
971, Lakeland Drive, Jackson, Hinds County, Mississippi, 39216, United States
SUITE 1460
JACKSON, MS 392164621
Phone: (601) 982-3202
Fax: (601) 982-3259
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($70).
Total Amount
$151
General + Research + Ownership
Payments
5
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $70 |
| Organogenesis Inc. | $28 |
| AstraZeneca Pharmaceuticals LP | $23 |
| Ethicon US, LLC | $16 |
| Olympus America Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150401000907 | I | General Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 116 | 84 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 64 | 64 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 48 | 48 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 28 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 27 | 27 | $0 |
Insurance plans in this area (ZIP 36701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Orthopedic Surgery | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| - | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| Nurse Practitioner | AL | |
| General Surgery | GA | |
| Emergency Medicine | AL | |
| - | AL | |
| Nephrology, Internal Medicine | AL |
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