MR. BENJAMIN DOUGLAS JOHNSON (PA-C, R.T. (R)) – Radiology Practitioner Assistant, NPI 1821516345
Radiology Practitioner Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
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Provider Addresses for MR. BENJAMIN DOUGLAS JOHNSON (PA-C, R.T. (R))
3745, Geist Road, Fairbanks North Star, Alaska, 99709, United States
FAIRBANKS, AK 997093554
Phone: (907) 456-3338
Fax: (907) 456-3443
Type: Location
1650 COWLES ST
FAIRBANKS, AK 997015907
Phone: (907) 458-3900
Type: Location
11th Avenue Northeast, University District, Seattle, King County, Washington, 98105-6286, United States
SEATTLE, WA 981056367
Phone:
Type: Mailing
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.
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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: 2019-02-25
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 |
|---|---|---|---|---|
| I20190225001593 | I | Physician Assistant | AK | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 395 | 395 | $0 |
| 77081 | Dxa bone density measurement of forearm, finger, hand, or foot | 56 | 56 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 24 | 17 | $0 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 14 | 14 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 14 | 14 | $0 |
Insurance plans in this area (ZIP 99709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | AK | |
| - | AK | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | MN |
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