JESSICA DANIELLE JOHNSON (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1093071680
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
955 CRITICAL CARE (INTENSIVISTS) in IL
Provider Addresses for JESSICA DANIELLE JOHNSON (M.D.)
2160 S 1ST AVE
ROOM 106
MAYWOOD, IL 601533328
Phone: (708) 216-5402
Fax: (708) 216-6839
Type: Mailing
800 BIESTERFIELD RD STE 510
ELK GROVE VILLAGE, IL 600073367
Phone: (847) 981-3660
Fax: (847) 956-5108
Type: Location
2160 S 1st Ave
Room 106
Maywood, IL 601533328
Phone: (708) 216-5402
Fax: (708) 216-6839
Type: Location
4309 W Medical Center Dr Ste B305
McHenry, IL 600508418
Phone: (847) 802-7400
Fax: (847) 802-7399
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $4,283.
Total Amount is formed as General ($4,283) + Research ($0) + Ownership ($0) = $4,283.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,139).
Total Amount
$4,283
General + Research + Ownership
Payments
17
Total payment records
General Amount
$4,283
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 |
|---|---|
| Intuitive Surgical, Inc. | $4,139 |
| E.R. Squibb & Sons, L.L.C. | $129 |
| Olympus America Inc. | $14 |
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: 2016-08-25
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 |
|---|---|---|---|---|
| I20160825002754 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 167 | 55 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 43 | $0 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 34 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 23 | $0 |
| 94375 | Test to measure rate of airflow | 27 | 27 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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