RANDON CHARLES JOHNSON (M.D.) – Orthopaedic Surgery Physician, NPI 1861611816
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for RANDON CHARLES JOHNSON (M.D.)
365 N. JEFFERSON ST.
#3505
CHICAGO, IL 60661
Phone: (312) 622-6086
Type: Mailing
1626 Tuttle St
Baraboo, WI 539131501
Phone: (608) 355-6868
Fax: (608) 356-6787
Type: Location
200 Rowan Blvd
Glassboro, NJ 080282260
Phone: (856) 595-9130
Fax: (856) 221-4296
Type: Location
1206 W Sherman Ave Bldg 1
Vineland, NJ 083606911
Phone: (856) 595-9130
Fax: (856) 221-4296
Type: Location
365 N JEFFERSON ST APT 3505
CHICAGO, IL 606611600
Phone: (312) 622-6086
Type: Mailing
1431 N WESTERN AVE
#310
CHICAGO, IL 606221797
Phone: (773) 235-1900
Fax: (773) 235-2999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,899.
Total Amount is formed as General ($1,899) + Research ($0) + Ownership ($0) = $1,899.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Stryker Corporation ($1,899).
Total Amount
$1,899
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,899
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,899 |
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: 2026-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090116000151 | I | Orthopedic Surgery | IL | TBD |
| I20221007002473 | I | Orthopedic Surgery | SD | TBD |
| I20230606002811 | I | Orthopedic Surgery | WI | TBD |
| I20230623003022 | I | Orthopedic Surgery | CO | TBD |
| I20250314001501 | I | Orthopedic Surgery | IN | TBD |
| I20250822002837 | I | Orthopedic Surgery | WA | TBD |
| I20251013000686 | I | Orthopedic Surgery | GA | TBD |
| I20260123000079 | I | Orthopedic Surgery | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 60661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | SD | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | OH | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Emergency Medicine, Family Practice | SD | |
| - | SD | |
| Orthopedic Surgery | SD | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | SD |
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