DR. ANTON JOHNSON (M.D.) – Nuclear Medicine Physician, NPI 1215040209

DR. ANTON JOHNSON (M.D.) is a healthcare provider. based in East peoria, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-095564 (IL). The NPI Number for DR. ANTON JOHNSON (M.D.) is 1215040209

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTON JOHNSON (M.D.)
NPI
1215040209
Phone
(309) 740-4272
Address
111 OAKWOOD RD
Enumeration Date
16 August 2006
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3097404272
Graduation Year
1992 (34 years ago)
PAC ID
6901831908
Group Practice PAC ID
9436061827
Professional Enrollment ID
I20050928000961
Address ID
IL622303618BR9515XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,123 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for DR. ANTON JOHNSON (M.D.)

  • 111 OAKWOOD RD

    EAST PEORIA, IL 616111853

    Phone: (309) 740-4272

    Type: Mailing

  • 611, North 6th Street, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627025327

    Phone: (217) 544-2149

    Fax: (217) 544-9553

    Type: Mailing

  • HSHS Saint John's Hospital, 800, East Carpenter Street, Springfield, Sangamon County, Illinois, 62769, United States

    DEPARTMENT OF RADIOLOGY

    SPRINGFIELD, IL 627025324

    Phone: (217) 544-6464

    Fax: (217) 525-5671

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-28

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
I20050928000961IDiagnostic RadiologyILTBD

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
78815Nuclear medicine study from skull base to mid-thigh with ct scan9291$0
78306Nuclear medicine study of bone and/or joint whole body6055$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect5656$0
78580Nuclear medicine study of lung circulation4645$0
78226Nuclear medicine study of liver and bile duct system2828$0
View full utilization report →

Insurance plans in this area (ZIP 61611)

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Provider's Procedures

DR. ANTON JOHNSON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front768651
DIAGNOSTIC RADIOLOGYIL71250CT scan chest3332
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views3938
DIAGNOSTIC RADIOLOGYIL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies104104
DIAGNOSTIC RADIOLOGYIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1717

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: 9436061827View full group profile
NameSpecialtyState
Diagnostic RadiologyWI
Diagnostic RadiologyIL
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Physician AssistantIL
-IL
Diagnostic RadiologyFL
Diagnostic RadiologyIL
-IL
Diagnostic RadiologyIL

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Frequently asked questions

How is DR. ANTON JOHNSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ANTON JOHNSON (M.D.) with NPI 1215040209.
Is DR. ANTON JOHNSON (M.D.) listed as active for patients and plans?
The listing shows DR. ANTON JOHNSON (M.D.) as active in the NPI system.
What is DR. ANTON JOHNSON (M.D.)'s primary classification?
Nuclear Medicine Physician is the headline specialty for DR. ANTON JOHNSON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ANTON JOHNSON (M.D.) on a map?
Expect East Peoria, Illinois as a primary anchor for DR. ANTON JOHNSON (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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