ROBERT EDWARD JOHNSON (PA-C) – Medical Physician Assistant, NPI 1609969674
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for ROBERT EDWARD JOHNSON (PA-C)
1860 Renzulli Rd
New Smyrna Beach, FL 321681726
Phone: (386) 663-3061
Type: Location
126 S Nova Rd
Ormond Beach, FL 321746115
Phone: (386) 673-9949
Type: Location
800 N Stone St
Deland, FL 327203256
Phone: (386) 261-8608
Type: Location
Regional General Hospital Williston, 125, Southwest 7th Street, Williston, Levy County, Florida, 32696, United States
WILLISTON, FL 326962403
Phone: (352) 528-2801
Type: Mailing
2280 US HIGHWAY 70 SE
HICKORY, NC 286025164
Phone: (828) 267-1201
Type: Location
308 PRALEY ST NW
VALDESE, NC 286902328
Phone: (321) 297-7115
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $15 |
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: 2015-06-30
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 |
|---|---|---|---|---|
| I20040909000477 | I | Physician Assistant | FL | TBD |
| I20091125000545 | I | Physician Assistant | NC | TBD |
| I20150630000983 | I | Physician Assistant | NY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 274 | 244 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 219 | 219 | $0 |
| 81003 | Automated urinalysis test | 67 | 62 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 40 | 20 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 37 | 37 | $0 |
Insurance plans in this area (ZIP 32168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| Internal Medicine | NC | |
| Physician Assistant | ME | |
| - | OH | |
| Physician Assistant | FL | |
| Nurse Practitioner | OH |
Reviews
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