DR. JESSE WAYNE JR. JOHNSON (M.D.) – Internal Medicine Physician, NPI 1245344571

DR. JESSE WAYNE JR. JOHNSON (M.D.) is a healthcare provider. based in Lake mary, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME 49038 (FL). The NPI Number for DR. JESSE WAYNE JR. JOHNSON (M.D.) is 1245344571

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE WAYNE JR. JOHNSON (M.D.)
NPI
1245344571
Phone
(407) 333-2273
Address
4106 W LAKE MARY BLVD
Enumeration Date
17 August 2006
Last Update Date
30 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
5597757161
Group Practice PAC ID
4981986288
Professional Enrollment ID
I20080910000530
Address ID
FL327711013SA1200XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. JESSE WAYNE JR. JOHNSON (M.D.)

  • 4106, West Lake Mary Boulevard, Lake Mary, Seminole County, Florida, 32746, United States

    SUITE 100

    LAKE MARY, FL 327463315

    Phone: (407) 333-2273

    Fax: (407) 333-3939

    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)

CMS reports 44 Open Payments records for all available years, with a total value of $852.

Total Amount is formed as General ($852) + Research ($0) + Ownership ($0) = $852.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Abbott Laboratories ($161).

Total Amount

$852

General + Research + Ownership

Payments

44

Total payment records

General Amount

$852

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-09-10

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
I20080910000530IInternal MedicineFLTBD

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 minutes1,202509$0
99213Established patient office or other outpatient visit, 20-29 minutes358204$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit280280$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage107107$0
G0008Administration of influenza virus vaccine104104$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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Provider's Procedures

DR. JESSE WAYNE JR. JOHNSON (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL85610Blood test, clotting time13815

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: 4981986288View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticeFL
Hand Surgery, Orthopedic SurgeryCA
Occupational Therapist In Private PracticeGA
-FL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
N E U R O S U R G E R YFL
Hand Surgery, Orthopedic Surgery, Hand SurgeryMA

Reviews

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Frequently asked questions

Does DR. JESSE WAYNE JR. JOHNSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JESSE WAYNE JR. JOHNSON (M.D.) uses 1245344571.
Is DR. JESSE WAYNE JR. JOHNSON (M.D.) still practicing?
DR. JESSE WAYNE JR. JOHNSON (M.D.) is currently listed as active in the public NPI registry.
What is DR. JESSE WAYNE JR. JOHNSON (M.D.)'s specialty?
The listing groups DR. JESSE WAYNE JR. JOHNSON (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JESSE WAYNE JR. JOHNSON (M.D.)?
DR. JESSE WAYNE JR. JOHNSON (M.D.)'s geographic hint is Lake Mary, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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