DR. LISA L JOHNSON (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1629069919

DR. LISA L JOHNSON (M.D.) is a healthcare provider. based in Oak lawn, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 036119477 (IL). The NPI Number for DR. LISA L JOHNSON (M.D.) is 1629069919

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA L JOHNSON (M.D.)
NPI
1629069919
Phone
(708) 499-9800
Address
5851 W 95TH ST
Enumeration Date
4 November 2005
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
7084999800
Graduation Year
2000 (26 years ago)
PAC ID
3274507983
Group Practice PAC ID
2860659463
Professional Enrollment ID
I20071107000588
Address ID
IL605234656OA2425XSTXX401

Contacts

Secure Messaging
ljohnson254798@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for DR. LISA L JOHNSON (M.D.)

  • 5851, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    SUITE 300

    OAK LAWN, IL 604532362

    Phone: (708) 499-9800

    Fax: (708) 499-6203

    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 18 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($333).

Total Amount

$447

General + Research + Ownership

Payments

18

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-11-07

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
I20071107000588IObstetrics/GynecologyILTBD

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
J0585Injection, onabotulinumtoxina, 1 unit3,50118$0
81003Automated urinalysis test147117$0
99214Established patient office or other outpatient visit, 30-39 minutes8161$0
99213Established patient office or other outpatient visit, 20-29 minutes7462$0
51701Insertion of temporary bladder tube6660$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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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: 2860659463View full group profile
NameSpecialtyState
Physician AssistantIL
Physician AssistantIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

Does DR. LISA L JOHNSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LISA L JOHNSON (M.D.) uses 1629069919.
Does the file indicate DR. LISA L JOHNSON (M.D.) is practicing under active NPI?
Directory data currently reports DR. LISA L JOHNSON (M.D.) as active.
What taxonomy line describes DR. LISA L JOHNSON (M.D.)?
For research purposes, treat DR. LISA L JOHNSON (M.D.) as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. LISA L JOHNSON (M.D.) list a practice location?
Patients near Oak Lawn, Illinois may find DR. LISA L JOHNSON (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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