STUART K JOHNSON (DO) – Family Medicine Physician, NPI 1861483901

STUART K JOHNSON (DO) is a healthcare provider. based in Carol stream, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101014540 (MI). The NPI Number for STUART K JOHNSON (DO) is 1861483901

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
STUART K JOHNSON (DO)
NPI
1861483901
Phone
(906) 225-3864
Address
4602 DEPT
Enumeration Date
28 October 2005
Last Update Date
29 April 2009

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6204962483
Group Practice PAC ID
9931359601
Professional Enrollment ID
I20100326000465
Address ID
MI498552675MA1414XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for STUART K JOHNSON (DO)

  • Carol Stream Police Department, Hiawatha Drive, Carol Stream, DuPage County, Illinois, 60188, United States

    CAROL STREAM, IL 601220021

    Phone: (906) 225-3864

    Fax: (906) 225-3851

    Type: Mailing

  • Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States

    STE 36

    MARQUETTE, MI 498552675

    Phone: (906) 225-3864

    Fax: (906) 225-3851

    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: 2010-03-26

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
I20100326000465IFamily PracticeMITBD

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 minutes5434$0
99214Established patient office or other outpatient visit, 30-39 minutes2417$0
View full utilization report →

Insurance plans in this area (ZIP 60122)

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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: 9931359601View full group profile
NameSpecialtyState
-MI
Pulmonary DiseaseMI
H O S P I T A L I S TMI
Physician AssistantMI
Thoracic SurgeryIL
Nurse PractitionerMI
-MI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MI
-MI
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

Can I verify STUART K JOHNSON (DO) with an NPI only?
You can start verification with NPI 1861483901 for STUART K JOHNSON (DO), then check state licensing separately.
Can I rely on STUART K JOHNSON (DO) being an active provider?
As of the registry snapshot, STUART K JOHNSON (DO) is marked active.
What taxonomy line describes STUART K JOHNSON (DO)?
For research purposes, treat STUART K JOHNSON (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does STUART K JOHNSON (DO) serve?
STUART K JOHNSON (DO)'s listing highlights Carol Stream, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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