RAY W. JOHNSON (M.D.) – Dermatology Physician, NPI 1629099072
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
367 DERMATOLOGY in AZ
Provider Addresses for RAY W. JOHNSON (M.D.)
2820 N Glassford Hill Rd Ste 103
Prescott Valley, AZ 863142256
Phone: (928) 772-8553
Fax: (928) 776-0405
Type: Location
1000 Ainsworth Dr Ste 330
Prescott, AZ 863051682
Phone: (928) 777-5830
Fax: (928) 776-0405
Type: Location
820 Ainsworth Dr Ste B
Prescott, AZ 863011613
Phone: (928) 777-5810
Fax: (928) 776-0405
Type: Location
2820 N Glassford Hill Rd Ste 107
Prescott Valley, AZ 863142256
Phone: (928) 772-8553
Fax: (928) 776-0405
Type: Location
203 S Candy Ln # 14
Cottonwood, AZ 863264120
Phone: (928) 639-3387
Fax: (928) 776-0405
Type: Location
820 Ainsworth Dr Ste A
Prescott, AZ 863011613
Phone: (928) 777-5800
Fax: (928) 776-0405
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
830 AINSWORTH DR
PRESCOTT, AZ 863011630
Phone: (928) 777-5800
Fax: (928) 776-0405
Type: Location
830, Ainsworth Drive, Prescott, Yavapai County, Arizona, 86301, United States
PRESCOTT, AZ 863011630
Phone: (928) 776-0325
Fax: (928) 776-0405
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,483.
Total Amount is formed as General ($1,483) + Research ($0) + Ownership ($0) = $1,483.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($675).
Total Amount
$1,483
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $675 |
| Sun Pharmaceutical Industries Inc. | $201 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $198 |
| Regeneron Healthcare Solutions, Inc. | $78 |
| UCB, Inc. | $77 |
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: 2005-06-21
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 |
|---|---|---|---|---|
| I20050621000397 | I | Dermatology | AZ | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6,037 | 3,205 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 839 | 325 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 689 | 568 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 439 | 377 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 364 | 221 | $0 |
Insurance plans in this area (ZIP 86314)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AZ | 11101 | Biopsy of each additional growth of skin and/or tissue | 72 | 55 |
| DERMATOLOGY | AZ | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 21 | 20 |
| DERMATOLOGY | AZ | 17003 | Destruction of 2-14 skin growths | 882 | 172 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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