JEFFREY JOHNSON (PA-C) – Physician Assistant, NPI 1063886935
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JEFFREY JOHNSON (PA-C)
947 S Mannheim Rd
Westchester, IL 601542515
Phone: (708) 550-7005
Type: Location
2447 MOMENTUM PL
STE 153
CHICAGO, IL 606895325
Phone: (847) 519-4701
Fax: (847) 519-4707
Type: Mailing
1365 WILEY RD
STE 153
SCHAUMBURG, IL 601734382
Phone: (847) 519-4701
Type: Location
7425 JANES AVE
WOODRIDGE, IL 605172356
Phone: (708) 550-7005
Type: Location
4027 HOYT AVE
EVERETT, WA 982014920
Phone: (425) 304-8476
Fax: (425) 304-8477
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 304-8476
Fax: (425) 304-8477
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTRONIK NRO, Inc. ($203).
Total Amount
$221
General + Research + Ownership
Payments
6
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTRONIK NRO, Inc. | $203 |
| Collegium Pharmaceutical, Inc. | $18 |
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: 2016-03-22
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 |
|---|---|---|---|---|
| I20160322001450 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 265 | 132 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 72 | 70 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine | WI | |
| Thoracic Surgery, Cardiac Surgery | MI | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| General Surgery | GA | |
| Internal Medicine | WI | |
| N E U R O S U R G E R Y | IL | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI |
Reviews
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