STEVEN BOYD JOHNSON (PA-C) – Medical Physician Assistant, NPI 1104101716
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
Provider Addresses for STEVEN BOYD JOHNSON (PA-C)
601 W MAPLE AVE
SUITE 411
SPRINGDALE, AR 727645335
Phone: (479) 757-5354
Fax: (479) 757-5358
Type: Mailing
PO BOX 775641
CHICAGO, IL 606776084
Phone: (479) 250-1053
Fax: (479) 250-0923
Type: Mailing
3101 SE 14TH ST
BENTONVILLE, AR 727124900
Phone: (479) 250-1053
Fax: (479) 250-0923
Type: Location
1673 N College Ave
Fayetteville, AR 727031919
Phone: (479) 521-0200
Fax: (479) 521-4942
Type: Location
PO BOX 1523
FAYETTEVILLE, AR 727021523
Phone: (479) 571-6038
Fax: (479) 582-0222
Type: Mailing
1673 N COLLEGE AVE
FAYETTEVILLE, AR 727031919
Phone: (479) 521-0200
Fax: (479) 521-4942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-09-05 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
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: 2012-03-26
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 |
|---|---|---|---|---|
| I20120326000013 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 313 | 277 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 181 | 46 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 55 | 51 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 50 | 49 | $0 |
| J0945 | Injection, brompheniramine maleate, per 10 mg | 38 | 38 | $0 |
Insurance plans in this area (ZIP 72764)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Physician Assistant | OH | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | AR | |
| Physician Assistant | NY | |
| Nurse Practitioner | GA | |
| Family Practice, Emergency Medicine, General Practice | MN | |
| Nurse Practitioner | AR |
Reviews
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