DR. FREDERICK DWAYNE JR. JOHNSON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1619143914
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
217 INTERVENTIONAL RADIOLOGY in GA
Provider Addresses for DR. FREDERICK DWAYNE JR. JOHNSON (M.D.)
PO BOX 5764
THOMASVILLE, GA 317585764
Phone: (229) 221-6596
Type: Location
5, Woods Cv, Otter Creek, Little Rock, Pulaski County, Arkansas, 72210, United States
LITTLE ROCK, AR 722109108
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $4,157.
Total Amount is formed as General ($4,157) + Research ($0) + Ownership ($0) = $4,157.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Inari Medical, Inc. ($2,376).
Total Amount
$4,157
General + Research + Ownership
Payments
72
Total payment records
General Amount
$4,157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $2,376 |
| Medtronic, Inc. | $1,003 |
| Penumbra, Inc. | $219 |
| AngioDynamics, Inc. | $195 |
| AstraZeneca Pharmaceuticals LP | $125 |
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: 2019-12-31
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 |
|---|---|---|---|---|
| I20191231001347 | I | Interventional Radiology | GA | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 177 | 140 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 75 | 68 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 62 | 59 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 52 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 39 | $0 |
Insurance plans in this area (ZIP 31758)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | AR | 71010 | X-ray of chest, 1 view, front | 478 | 442 |
| DIAGNOSTIC RADIOLOGY | AR | 71250 | CT scan chest | 39 | 39 |
| DIAGNOSTIC RADIOLOGY | AR | 73630 | X-ray of foot, minimum of 3 views | 25 | 21 |
| DIAGNOSTIC RADIOLOGY | AR | 74177 | CT scan of abdomen and pelvis with contrast | 37 | 36 |
| DIAGNOSTIC RADIOLOGY | AR | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 81 | 78 |
| DIAGNOSTIC RADIOLOGY | AR | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 24 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Internal Medicine, Diagnostic Radiology, Psychiatry | MN |
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