DR. MARK R JOHANSEN (MD) – Spinal Cord Injury Medicine Physician, NPI 1720066707

DR. MARK R JOHANSEN (MD) is a healthcare provider. based in Englewood, Colorado. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 37808 (CO). The NPI Number for DR. MARK R JOHANSEN (MD) is 1720066707

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK R JOHANSEN (MD)
NPI
1720066707
Phone
(303) 789-8220
Address
3425 S CLARKSON ST
Enumeration Date
9 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
3037898220
Graduation Year
1995 (31 years ago)
PAC ID
5496719114
Group Practice PAC ID
0547254500
Professional Enrollment ID
I20100303000288
Address ID
CO801132811EN3425XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

272 PHYSICAL MEDICINE AND REHABILITATION in CO

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Provider Addresses for DR. MARK R JOHANSEN (MD)

  • Craig Hospital, 3425, South Clarkson Street, Englewood, Arapahoe County, Colorado, 80113, United States

    ENGLEWOOD, CO 801132811

    Phone: (303) 789-8220

    Fax: (303) 789-8470

    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)

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: 2010-03-03

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
I20100303000288IPhysical Medicine And RehabilitationCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12611$0
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Insurance plans in this area (ZIP 80113)

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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: 0547254500View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCO
N E U R O L O G YCO
Physical Medicine And RehabilitationCO
-CO
Physical Medicine And RehabilitationCO
-CO
Physical Medicine And RehabilitationCO
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationCO
-CO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARK R JOHANSEN (MD)?
DR. MARK R JOHANSEN (MD) — NPI 1720066707 — is the standard way to identify this listing.
Is DR. MARK R JOHANSEN (MD) still practicing?
DR. MARK R JOHANSEN (MD) is currently listed as active in the public NPI registry.
What is DR. MARK R JOHANSEN (MD)'s primary classification?
Spinal Cord Injury Medicine Physician is the headline specialty for DR. MARK R JOHANSEN (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. MARK R JOHANSEN (MD) based?
DR. MARK R JOHANSEN (MD) is tied to Englewood, Colorado in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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