DAVID M JOHNSON (MD) – Family Medicine Physician, NPI 1386616795

DAVID M JOHNSON (MD) is a healthcare provider. based in Jacksonville beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME76227 (FL). The NPI Number for DAVID M JOHNSON (MD) is 1386616795

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M JOHNSON (MD)
NPI
1386616795
Phone
(904) 249-0335
Address
900 BEACH BLVD
Enumeration Date
2 February 2006
Last Update Date
17 November 2010

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
9042427177
Graduation Year
1995 (31 years ago)
PAC ID
2769519008
Group Practice PAC ID
7315970688
Professional Enrollment ID
I20100419000695
Address ID
FL322503235JA1361XSXXX402
Telehealth
Yes
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

6,723 FAMILY PRACTICE in FL

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Provider Addresses for DAVID M JOHNSON (MD)

  • Beach Boulevard, Jacksonville Beach, Duval County, Florida, 32250, United States

    JACKSONVILLE BEACH, FL 322504368

    Phone: (904) 249-0335

    Fax: (904) 249-0347

    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 182 Open Payments records for all available years, with a total value of $3,411.

Total Amount is formed as General ($3,411) + Research ($0) + Ownership ($0) = $3,411.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Abbott Laboratories ($597).

Total Amount

$3,411

General + Research + Ownership

Payments

182

Total payment records

General Amount

$3,411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-04-19

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
I20100419000695IFamily PracticeFLTBD

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 minutes375221$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit186186$0
99215Established patient office or other outpatient visit, 40-54 minutes175146$0
99213Established patient office or other outpatient visit, 20-29 minutes12386$0
96372Injection of drug or substance under skin or into muscle9026$0
View full utilization report →

Insurance plans in this area (ZIP 32250)

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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: 7315970688View full group profile
NameSpecialtyState
Internal MedicineFL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID M JOHNSON (MD)?
DAVID M JOHNSON (MD) — NPI 1386616795 — is the standard way to identify this listing.
Can I rely on DAVID M JOHNSON (MD) being an active provider?
As of the registry snapshot, DAVID M JOHNSON (MD) is marked active.
What is DAVID M JOHNSON (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DAVID M JOHNSON (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID M JOHNSON (MD)?
DAVID M JOHNSON (MD)'s geographic hint is Jacksonville Beach, 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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