PAUL JOHNSON (M.D.) – Colon & Rectal Surgery Physician, NPI 1992062855
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
208 COLORECTAL SURGERY (PROCTOLOGY) in FL
Provider Addresses for PAUL JOHNSON (M.D.)
1425 Malabar Rd NE
Palm Bay, FL 329072506
Phone: (321) 434-8078
Type: Location
150 BERGEN ST
SUITE E-401
NEWARK, NJ 071032496
Phone: (973) 972-5682
Type: Mailing
7705 Poplar Ave Ste 220
Germantown, TN 381383930
Phone: (901) 516-6792
Fax: (901) 266-6459
Type: Location
1265 UNION AVENUE, 2 SHORB TOWER
MEMPHIS, TN 381042030
Phone: (901) 478-0900
Fax: (901) 266-6415
Type: Location
1211 UNION AVE STE 330
MEMPHIS, TN 381046655
Phone: (901) 478-0954
Fax: (901) 478-0951
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,353.
Total Amount is formed as General ($1,353) + Research ($0) + Ownership ($0) = $1,353.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($567).
Total Amount
$1,353
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $567 |
| Myriad Genetic Laboratories, Inc. | $296 |
| Medtronic, Inc. | $198 |
| RTI SURGICAL, INC | $121 |
| Intuitive Surgical, Inc. | $89 |
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: 2022-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220301001844 | I | Colorectal Surgery (Proctology) | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology, Internal Medicine, Medical Oncology | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | GA | |
| Infectious Disease, Internal Medicine | TN | |
| General Surgery | TN | |
| N E P H R O L O G Y | TN |
Reviews
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