PIERRE MICHAEL JOHNSON (M.D.) – Gynecology Physician, NPI 1659531903

PIERRE MICHAEL JOHNSON (M.D.) is a healthcare provider. based in Decatur, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-132597 (IL). The NPI Number for PIERRE MICHAEL JOHNSON (M.D.) is 1659531903

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
PIERRE MICHAEL JOHNSON (M.D.)
NPI
1659531903
Phone
(217) 872-2400
Address
1 MEMORIAL DR
Enumeration Date
11 June 2008
Last Update Date
9 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7738545567
Graduation Year
2003 (23 years ago)
PAC ID
8527201565
Group Practice PAC ID
5193725893
Professional Enrollment ID
I20130823000693
Address ID
IL606445059CH645XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for PIERRE MICHAEL JOHNSON (M.D.)

  • 1, Memorial Drive, Decatur, Macon County, Illinois, 62526, United States

    SUITE 300

    DECATUR, IL 625266303

    Phone: (217) 872-2400

    Fax: (217) 875-4680

    Type: Location

  • 926 MAIN ST APT 209

    PEORIA, IL 616021039

    Phone: (773) 354-1659

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 107 Open Payments records for all available years, with a total value of $91,448.

Total Amount is formed as General ($91,448) + Research ($0) + Ownership ($0) = $91,448.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Acessa Health Inc. ($87,101).

Total Amount

$91,448

General + Research + Ownership

Payments

107

Total payment records

General Amount

$91,448

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

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: 2013-08-23

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
I20130823000693IObstetrics/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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62526)

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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: 5193725893View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineIL
Clinical Social WorkerIL
-IL
Psychiatry, NeuropsychiatryIL
-IL
-IL
-IL
Diagnostic RadiologyIL
Emergency MedicineIL
Family PracticeTX

Reviews

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Frequently asked questions

Does PIERRE MICHAEL JOHNSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PIERRE MICHAEL JOHNSON (M.D.) uses 1659531903.
Does CMS list PIERRE MICHAEL JOHNSON (M.D.) as active?
Yes — PIERRE MICHAEL JOHNSON (M.D.) is active in the NPI listing used on this page.
What is PIERRE MICHAEL JOHNSON (M.D.)'s primary classification?
Gynecology Physician is the headline specialty for PIERRE MICHAEL JOHNSON (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for PIERRE MICHAEL JOHNSON (M.D.)?
PIERRE MICHAEL JOHNSON (M.D.)'s geographic hint is Decatur, Illinois in our summary view.
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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