TIM R JOHNSON (PAC) – Physician Assistant, NPI 1841234515

TIM R JOHNSON (PAC) is a healthcare provider. based in Lone tree, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA.0002277 (CO). The NPI Number for TIM R JOHNSON (PAC) is 1841234515

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
TIM R JOHNSON (PAC)
NPI
1841234515
Phone
(303) 699-7325
Address
9777 S YOSEMITE ST STE 220
Enumeration Date
15 June 2006
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2252397190
Graduation Year
2006 (20 years ago)
PAC ID
2860499399
Group Practice PAC ID
7618389248
Professional Enrollment ID
I20251230000956
Address ID
FL330651628CO3481XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for TIM R JOHNSON (PAC)

  • 9777 S YOSEMITE ST STE 220

    LONE TREE, CO 801243115

    Phone: (303) 699-7325

    Fax: (303) 699-5486

    Type: Location

  • Golden Ridge Road, Golden, Jefferson County, Colorado, 80401, United States

    STE. 250

    GOLDEN, CO 804019541

    Phone: (303) 274-7321

    Fax: (720) 497-6741

    Type: Mailing

  • 9777 S Yosemite St Ste 220

    Lone Tree, CO 801243115

    Phone: (303) 699-7325

    Fax: (303) 699-5486

    Type: Location

  • 145 INVERNESS DR E STE 220

    ENGLEWOOD, CO 801125172

    Phone: (303) 699-7325

    Fax: (303) 699-5486

    Type: Location

  • 8101 E LOWRY BLVD STE 120

    DENVER, CO 802307195

    Phone: (720) 865-6072

    Fax: (720) 865-6072

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($80).

Total Amount

$210

General + Research + Ownership

Payments

7

Total payment records

General Amount

$210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20061026000076IPhysician AssistantCOTBD
I20251230000956IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10892$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg5138$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2620$0
73130X-ray of hand, minimum of 3 views2626$0
View full utilization report →

Insurance plans in this area (ZIP 80124)

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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: 7618389248View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Family PracticeFL
Physician AssistantFL
Family PracticeFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIM R JOHNSON (PAC)?
TIM R JOHNSON (PAC) — NPI 1841234515 — is the standard way to identify this listing.
Is TIM R JOHNSON (PAC) listed as active for patients and plans?
The listing shows TIM R JOHNSON (PAC) as active in the NPI system.
What is TIM R JOHNSON (PAC) best known for clinically?
Directory data describes TIM R JOHNSON (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect TIM R JOHNSON (PAC) on a map?
Expect Lone Tree, Colorado as a primary anchor for TIM R JOHNSON (PAC) unless the record lists multiple sites.
Why does TIM R JOHNSON (PAC) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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