GARY A JOHNSON (MD) – Gynecologic Oncology Physician, NPI 1083682660

GARY A JOHNSON (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Gynecologic Oncology Physician. They hold the professional credentials MD. They hold a License No. 2012029926 (MO). The NPI Number for GARY A JOHNSON (MD) is 1083682660

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
GARY A JOHNSON (MD)
NPI
1083682660
Phone
(309) 243-3000
Address
8940 N WOOD SAGE RD
Enumeration Date
9 March 2006
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3096914005
Graduation Year
1986 (40 years ago)
PAC ID
9133133200
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20080715000837
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Digital endpointsOther names

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Provider Addresses for GARY A JOHNSON (MD)

  • 8940, Wood Sage Road, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616157822

    Phone: (309) 243-3000

    Fax: (309) 243-3000

    Type: Location

  • 13308 CEDAR TRL

    OKLAHOMA CITY, OK 731311801

    Phone: (719) 651-3868

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 61615)

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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: 3678889789View full group profile
NameSpecialtyState
MR. RYAN EUGENE PARNHAM (NP-C)
Nurse PractitionerIL
KARA KAYE SHARPF (RN, MSN, FNP-BC)
-IL
DR. RAYAN ABDO ELKATTAH (M.D.)
-TN
MELISSA HAJOSTEK (APN)
-IL
MRS. JESSICA SCOT GAY (MSN, APRN, FNP-BC)
-IL
MRS. SUSAN E. JORDAN (APN)
-IL
CHRISTINE L KAGE-WILLIS (LDN)
-IL
MRS. MORGAN ELIZABETH HARRIS (CNP)
-IL
MR. BLESSING KUDAKWASHE TUPIRI (PA)
Physician AssistantMO
PHILIP A FIFIELD (M.D.)
-IL

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Frequently asked questions

Is there an official ID for GARY A JOHNSON (MD) in U.S. healthcare records?
The official identifier for GARY A JOHNSON (MD) is NPI 1083682660.
Is GARY A JOHNSON (MD) shown as active in public data?
Registry records indicate GARY A JOHNSON (MD) maintains an active NPI.
What clinical focus is listed for GARY A JOHNSON (MD)?
At a glance, GARY A JOHNSON (MD) is tied to Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is GARY A JOHNSON (MD) registered?
Use Peoria, Illinois as the headline location for GARY A JOHNSON (MD) here.
Does GARY A JOHNSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.