DR. RICHARD W JOHNSON (DPM) – Podiatrist, NPI 1477590248

DR. RICHARD W JOHNSON (DPM) is a healthcare provider. based in St augustine, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO2829 (FL). The NPI Number for DR. RICHARD W JOHNSON (DPM) is 1477590248

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD W JOHNSON (DPM)
NPI
1477590248
Phone
(904) 826-1900
Address
200 SOUTHPARK BLVD
Enumeration Date
1 June 2006
Last Update Date
6 April 2010

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3863281122
Graduation Year
1996 (30 years ago)
PAC ID
1254476773
Group Practice PAC ID
9537204151
Professional Enrollment ID
I20100320000279
Address ID
FL321779170PA3805XAVEX300
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

1,444 PODIATRY in FL

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Provider Addresses for DR. RICHARD W JOHNSON (DPM)

  • 200, Southpark Boulevard, St. Augustine South, Saint Johns County, Florida, 32086, United States

    STE 208

    ST AUGUSTINE, FL 320863129

    Phone: (904) 826-1900

    Fax: (904) 826-1920

    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 12 Open Payments records for all available years, with a total value of $790.

Total Amount is formed as General ($790) + Research ($0) + Ownership ($0) = $790.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Kerecis Limited ($150).

Total Amount

$790

General + Research + Ownership

Payments

12

Total payment records

General Amount

$790

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2010-03-20

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
I20100320000279IPodiatryFLTBD

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
11721Removal of fingernails or toenails, 6 or more nails1,267386$0
99214Established patient office or other outpatient visit, 30-39 minutes939298$0
17110Destruction of skin growth, 1-14 growths844265$0
99213Established patient office or other outpatient visit, 20-29 minutes747263$0
99204New patient office or other outpatient visit, 45-59 minutes101101$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Provider's Procedures

DR. RICHARD W JOHNSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less8133
PODIATRYFL73630X-ray of foot, minimum of 3 views5437

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: 9537204151View full group profile
NameSpecialtyState
P O D I A T R YAL
P O D I A T R YFL

Reviews

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Frequently asked questions

Is DR. RICHARD W JOHNSON (DPM) listed with a National Provider Identifier?
Yes — DR. RICHARD W JOHNSON (DPM) has NPI 1477590248 on file in the registry.
Is there an active status for DR. RICHARD W JOHNSON (DPM)?
For scheduling context, DR. RICHARD W JOHNSON (DPM) is shown as active in the registry.
What clinical focus is listed for DR. RICHARD W JOHNSON (DPM)?
At a glance, DR. RICHARD W JOHNSON (DPM) is tied to Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. RICHARD W JOHNSON (DPM)?
Travel planning: use St Augustine, Florida as the reference point for DR. RICHARD W JOHNSON (DPM), then confirm.
Can I trust this NPI listing for DR. RICHARD W JOHNSON (DPM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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