DR. TODD ANDREW JOHNSON (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1033208418

DR. TODD ANDREW JOHNSON (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 036110291 (IL). The NPI Number for DR. TODD ANDREW JOHNSON (M.D.) is 1033208418

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD ANDREW JOHNSON (M.D.)
NPI
1033208418
Phone
(773) 276-1100
Address
1765 N ELSTON AVE
Enumeration Date
12 October 2006
Last Update Date
3 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2242827800
Graduation Year
2001 (25 years ago)
PAC ID
0840188421
Group Practice PAC ID
5092249771
Professional Enrollment ID
I20040305000702
Address ID
IL600621618NO40XXXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for DR. TODD ANDREW JOHNSON (M.D.)

  • Werewolf Coffee Bar, 1765, North Elston Avenue, West Town, Lincoln Park, Chicago, Cook County, Illinois, 60642, United States

    SUITE 110

    CHICAGO, IL 606421501

    Phone: (773) 276-1100

    Fax: (773) 276-1102

    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 188 Open Payments records for all available years, with a total value of $3,933.

Total Amount is formed as General ($3,933) + Research ($0) + Ownership ($0) = $3,933.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($795).

Total Amount

$3,933

General + Research + Ownership

Payments

188

Total payment records

General Amount

$3,933

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-03-05

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
I20040305000702IDermatologyILTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,458249$0
99213Established patient office or other outpatient visit, 20-29 minutes587353$0
17000Destruction of precancer skin growth, 1 growth582329$0
11102Biopsy of related skin growth, first growth370264$0
99214Established patient office or other outpatient visit, 30-39 minutes231158$0
View full utilization report →

Insurance plans in this area (ZIP 60642)

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Provider's Procedures

DR. TODD ANDREW JOHNSON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL17003Destruction of 2-14 skin growths648118

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: 5092249771View full group profile
NameSpecialtyState
P A T H O L O G YIL
D E R M A T O L O G YIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TODD ANDREW JOHNSON (M.D.)?
NPI 1033208418 is assigned to DR. TODD ANDREW JOHNSON (M.D.) under the national enumeration system.
Is DR. TODD ANDREW JOHNSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. TODD ANDREW JOHNSON (M.D.)?
The page reflects MOHS-Micrographic Surgery Physician for DR. TODD ANDREW JOHNSON (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TODD ANDREW JOHNSON (M.D.)?
The page summarizes Chicago, Illinois for DR. TODD ANDREW JOHNSON (M.D.); expand the address list for detail.
Is DR. TODD ANDREW JOHNSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1033208418. Always confirm identity and privileges with the practice and licensing boards.

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