MARY J JOHNSTON (DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1649618059

MARY J JOHNSTON (DO) is a healthcare provider. based in Fairbanks, Alaska. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. 111064 (AK). The NPI Number for MARY J JOHNSTON (DO) is 1649618059

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MARY J JOHNSTON (DO)
NPI
1649618059
Phone
(907) 459-3500
Address
1001 NOBLE ST
Enumeration Date
7 June 2013
Last Update Date
20 October 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9074593500
Graduation Year
2013 (13 years ago)
PAC ID
9234417882
Group Practice PAC ID
5698056901
Professional Enrollment ID
I20161102000353
Address ID
AK997014948FA1001XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

25 OSTEOPATHIC MANIPULATIVE MEDICINE in AK

Provider Addresses for MARY J JOHNSTON (DO)

  • 1001 NOBLE ST

    FAIRBANKS, AK 997014948

    Phone: (907) 459-3500

    Fax: (907) 459-3526

    Type: Mailing

  • PO BOX 73720

    FAIRBANKS, AK 997073720

    Phone: (907) 458-2619

    Fax: (907) 374-1089

    Type: Mailing

  • 1919 LATHROP ST

    FAIRBANKS, AK 997015937

    Phone: (907) 458-2619

    Fax: (907) 374-1089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161102000353IOsteopathic Manipulative MedicineAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes523188$0
98926Osteopathic manipulative treatment, 3-4 body regions289143$0
98925Osteopathic manipulative treatment, 1-2 body regions184121$0
98927Osteopathic manipulative treatment, 5-6 body regions10853$0
99203New patient office or other outpatient visit, 30-44 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698056901View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)AK
A N E S T H E S I O L O G YMD
P S Y C H I A T R YWA
H O S P I T A L I S TCA
Emergency MedicineAK
U R O L O G YAK
Certified Registered Nurse Anesthetist (Crna)ID
Family PracticeAK
-AK

Reviews

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Frequently asked questions

What is the registry number for MARY J JOHNSTON (DO)?
The registry entry for MARY J JOHNSTON (DO) shows NPI 1649618059.
Quick check: is MARY J JOHNSTON (DO) active?
Public NPPES data shows MARY J JOHNSTON (DO) with an active NPI status right now.
Which specialty label fits MARY J JOHNSTON (DO)?
NPPES ties MARY J JOHNSTON (DO) to Neuromusculoskeletal Medicine & OMM Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY J JOHNSTON (DO)?
MARY J JOHNSTON (DO) shows a connection to Fairbanks, Alaska in registry-derived data.
Can I export MARY J JOHNSTON (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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