DAVID SCOTT JOHNSON (M.D.) – Surgery Physician, NPI 1104910306
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DAVID SCOTT JOHNSON (M.D.)
49305 GRAPEFRUIT BLVD STE 1
COACHELLA, CA 922361490
Phone: (760) 398-0723
Type: Location
3307, Renner Drive, Fortuna, Humboldt County, California, 95540, United States
FORTUNA, CA 955403119
Phone:
Type: Mailing
31938 TEMECULA PKWY STE A337
TEMECULA, CA 925926810
Phone:
Fax: (760) 398-0723
Type: Mailing
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: PFIZER INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $16 |
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: 2018-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090821000255 | I | Dermatology | CA | TBD |
| I20180807000713 | I | General Surgery | SD | TBD |
| I20181012000973 | I | General Surgery | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Family Practice | AR | |
| Internal Medicine, Hospitalist | MT | |
| Orthopedic Surgery | WY | |
| Clinical Social Worker | FL | |
| Family Practice | IL | |
| - | MT | |
| Obstetrics/Gynecology, Hospitalist | AK | |
| U R O L O G Y | MT | |
| Nurse Practitioner | IN |
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