ANDREW ROBERT JOHNSON (M.D.) – Surgery Physician, NPI 1164418943
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Loading map...
Provider Addresses for ANDREW ROBERT JOHNSON (M.D.)
4218, Lincolnshire Drive, Mount Vernon, Jefferson County, Illinois, 62864, United States
PO BOX 968
MOUNT VERNON, IL 628642156
Phone: (618) 242-8480
Fax: (618) 242-8499
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $486.
Total Amount is formed as General ($486) + Research ($0) + Ownership ($0) = $486.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Kerecis Limited ($197).
Total Amount
$486
General + Research + Ownership
Payments
17
Total payment records
General Amount
$486
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $197 |
| Janssen Biotech, Inc. | $192 |
| Ethicon US, LLC | $40 |
| Mauna Kea Technologies, Inc. | $24 |
| CapsoVision, Inc. | $20 |
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: 2008-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080911000320 | I | General Surgery | MO | TBD |
| I20081208000491 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 66 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 36 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 34 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62864)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | KS | |
| - | OR | |
| Nurse Practitioner | MS | |
| - | MO | |
| Emergency Medicine, General Practice | MO | |
| Internal Medicine, Family Practice | MO | |
| P O D I A T R Y | MO | |
| General Surgery | KS | |
| - | MO | |
| Nurse Practitioner | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.