DR. STACEY JOHNSTON (MD) – Hospitalist Physician, NPI 1144414368
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,723 FAMILY PRACTICE in FL
Provider Addresses for DR. STACEY JOHNSTON (MD)
820 Prudential Dr Ste 304
Jacksonville, FL 32207
Phone: (904) 202-3860
Fax: (904) 202-3846
Type: Location
PO BOX 44004
JACKSONVILLE, FL 322314004
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
Prudential Drive, Jacksonville, Duval County, Florida, 32202, United States
JACKSONVILLE, FL 32207
Phone: (904) 202-3860
Fax: (904) 202-3846
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-3437
Type: Mailing
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 466011033
Phone: (574) 647-3050
Fax: (574) 647-1094
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PFIZER INC. ($190).
Total Amount
$333
General + Research + Ownership
Payments
12
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $190 |
| Siemens Medical Solutions USA, Inc. | $143 |
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: 2025-10-14
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 |
|---|---|---|---|---|
| I20091007000514 | I | Family Practice | SC | TBD |
| I20181002003486 | I | Hospitalist | FL | TBD |
| I20251014002852 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 47 | 27 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 32207)
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