BENJAMIN C JOHNSON (MD) – Otolaryngology Physician, NPI 1619193109

BENJAMIN C JOHNSON (MD) is a healthcare provider. based in Gurnee, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 036117490 (IL). The NPI Number for BENJAMIN C JOHNSON (MD) is 1619193109

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN C JOHNSON (MD)
NPI
1619193109
Phone
(847) 662-4442
Address
222 S GREENLEAF
Enumeration Date
17 April 2007
Last Update Date
28 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476624442
Graduation Year
2002 (24 years ago)
PAC ID
2466549449
Group Practice PAC ID
3476640459
Professional Enrollment ID
I20071108000031
Address ID
IL600315705GU222XXSTXX401

Contacts

FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
bjohnson236554@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

488 OTOLARYNGOLOGY in IL

Provider Addresses for BENJAMIN C JOHNSON (MD)

  • 222 S GREENLEAF

    LAKE COUNTY HEAD & NECK SPECIALISTS SC SUITE 106

    GURNEE, IL 60031

    Phone: (847) 662-4442

    Fax: (847) 662-4446

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Davol Inc. ($139).

Total Amount

$175

General + Research + Ownership

Payments

2

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$139
TELA Bio, Inc.$36
View all Open Payments →|Open Payments Risk Radar →

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: 2007-11-08

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
I20071108000031IOtolaryngologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes895595$0
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing343287$0
99203New patient office or other outpatient visit, 30-44 minutes311311$0
69210Removal of impacted ear wax218198$0
31231Diagnostic exam of nasal passages using an endoscope176151$0
View full utilization report →

Insurance plans in this area (ZIP 60031)

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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: 3476640459View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIN
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YIL
-IL
Qualified AudiologistIL

Reviews

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Frequently asked questions

Can I cross-check BENJAMIN C JOHNSON (MD) using NPI 1619193109?
NPI 1619193109 belongs to BENJAMIN C JOHNSON (MD); compare other details if you need extra assurance.
Active or inactive — what applies to BENJAMIN C JOHNSON (MD)?
You should see BENJAMIN C JOHNSON (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to BENJAMIN C JOHNSON (MD)?
BENJAMIN C JOHNSON (MD)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BENJAMIN C JOHNSON (MD)?
Travel planning: use Gurnee, Illinois as the reference point for BENJAMIN C JOHNSON (MD), then confirm.
Can I trust this NPI listing for BENJAMIN C JOHNSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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