TRACY JO JOHNSON (PA-C) – Physician Assistant, NPI 1184709347
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TRACY JO JOHNSON (PA-C)
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
10535 PARK MEADOWS BLVD STE 102
LONE TREE, CO 801248456
Phone: (303) 695-6106
Fax: (303) 695-1211
Type: Location
25 CROSSROADS DR STE 306
OWINGS MILLS, MD 211175437
Phone: (443) 231-1681
Fax: (443) 471-8540
Type: Mailing
University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States
AURORA, CO 800452545
Phone: (720) 848-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $2,753.
Total Amount is formed as General ($2,753) + Research ($0) + Ownership ($0) = $2,753.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Axonics, Inc. ($1,356).
Total Amount
$2,753
General + Research + Ownership
Payments
50
Total payment records
General Amount
$2,753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $1,356 |
| Saluda Medical Americas, Inc. | $307 |
| COLOPLAST CORP | $201 |
| Boston Scientific Corporation | $196 |
| PFIZER INC. | $175 |
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: 2009-01-10
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090110000102 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 78 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 45 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 48 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | CO | |
| Emergency Medicine | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| A N E S T H E S I O L O G Y | TX | |
| A N E S T H E S I O L O G Y | CO | |
| A N E S T H E S I O L O G Y | IL |
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