TIMOTHY SAMUEL JOHNSON (MD) – Family Medicine Physician, NPI 1023074119
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TIMOTHY SAMUEL JOHNSON (MD)
North Church Street, Atkins, Pope County, Arkansas, 72823, United States
ATKINS, AR 728233234
Phone: (479) 641-2255
Fax: (479) 641-1889
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $343.
Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($87).
Total Amount
$343
General + Research + Ownership
Payments
20
Total payment records
General Amount
$343
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-04-06
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 |
|---|---|---|---|---|
| I20040406000815 | I | Family Practice | AR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 595 | 305 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 550 | 308 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 312 | 221 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 257 | 239 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 243 | 179 | $0 |
Insurance plans in this area (ZIP 72823)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Nurse Practitioner | AR | |
| General Surgery | OK | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AR | |
| Pediatric Medicine | AR |
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