DAVID JOHANSEN (M.D.) – Internal Medicine Physician, NPI 1114248465

DAVID JOHANSEN (M.D.) is a healthcare provider. based in Grand junction, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 52217 (CO). The NPI Number for DAVID JOHANSEN (M.D.) is 1114248465

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DAVID JOHANSEN (M.D.)
NPI
1114248465
Phone
(970) 256-6322
Address
PO BOX 1687
Enumeration Date
21 June 2010
Last Update Date
9 December 2015

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9702433300
Graduation Year
2010 (16 years ago)
PAC ID
1557502804
Group Practice PAC ID
1052612785
Professional Enrollment ID
I20130729000627
Address ID
CO815066018GR607XX28XX200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,994 INTERNAL MEDICINE in CO

Provider Addresses for DAVID JOHANSEN (M.D.)

  • PO BOX 1687

    GRAND JUNCTION, CO 815021687

    Phone: (970) 256-6322

    Fax: (970) 263-2691

    Type: Mailing

  • 607 28 1/4 RD

    GRAND JUNCTION, CO 815066023

    Phone: (970) 243-3300

    Fax: (970) 243-4464

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-07-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130729000627IInternal MedicineCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes760296$0
36415Insertion of needle into vein for collection of blood sample423240$0
77080Dxa bone density measurement of hip, pelvis, spine188188$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional11946$0
G0008Administration of influenza virus vaccine117117$0
View full utilization report →

Insurance plans in this area (ZIP 81502)

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Provider's Procedures

DAVID JOHANSEN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECO17003Destruction of 2-14 skin growths4316
INTERNAL MEDICINECO85610Blood test, clotting time40070

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052612785View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Family PracticeCO
Physician AssistantCO
-VA
-CO
Physician AssistantCO
Nurse PractitionerMO
Physician AssistantCA

Reviews

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Frequently asked questions

Can I cross-check DAVID JOHANSEN (M.D.) using NPI 1114248465?
NPI 1114248465 belongs to DAVID JOHANSEN (M.D.); compare other details if you need extra assurance.
Is DAVID JOHANSEN (M.D.) still an active registrant?
DAVID JOHANSEN (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DAVID JOHANSEN (M.D.)?
DAVID JOHANSEN (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID JOHANSEN (M.D.) associated with Grand Junction?
Public fields place DAVID JOHANSEN (M.D.) around Grand Junction, Colorado. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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