DR. BRAD M JOHNSTON (M.D.) – Diagnostic Radiology Physician, NPI 1114971223

DR. BRAD M JOHNSTON (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01056073A (IN). The NPI Number for DR. BRAD M JOHNSTON (M.D.) is 1114971223

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRAD M JOHNSTON (M.D.)
NPI
1114971223
Phone
(260) 969-1124
Address
3707 NEW VISION DR
Enumeration Date
22 May 2006
Last Update Date
5 April 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4196361131
Graduation Year
1999 (27 years ago)
PAC ID
0042271389
Group Practice PAC ID
7517878093
Professional Enrollment ID
I20050915000484
Address ID
OH435061690BR433XXSTXX400
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

847 DIAGNOSTIC RADIOLOGY in IN

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Provider Addresses for DR. BRAD M JOHNSTON (M.D.)

  • 3707, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451702

    Phone: (260) 969-1124

    Fax: (614) 210-1886

    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)

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: 2005-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041020001085IDiagnostic RadiologyINTBD
I20050915000484IDiagnostic RadiologyOHTBD

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
71045X-ray of chest, 1 view363349$0
71046X-ray of chest, 2 views189187$0
70450Ct scan head or brain without contrast169165$0
76705Limited ultrasound scan of abdomen104103$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers10099$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Provider's Procedures

DR. BRAD M JOHNSTON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIN73562X-ray of knee, 3 views5749
DIAGNOSTIC RADIOLOGYIN73630X-ray of foot, minimum of 3 views1313
DIAGNOSTIC RADIOLOGYIN73110X-ray of wrist, minimum of 3 views1211
DIAGNOSTIC RADIOLOGYIN74177CT scan of abdomen and pelvis with contrast7170

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: 7517878093View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyIN
Diagnostic RadiologyIN
Interventional Radiology, Diagnostic RadiologyIN
Diagnostic RadiologyIL
Diagnostic RadiologyIN
-OH
Diagnostic RadiologyNC
-OH
Diagnostic RadiologyIN
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BRAD M JOHNSTON (M.D.)?
DR. BRAD M JOHNSTON (M.D.) — NPI 1114971223 — is the standard way to identify this listing.
Is DR. BRAD M JOHNSTON (M.D.) still practicing?
DR. BRAD M JOHNSTON (M.D.) is currently listed as active in the public NPI registry.
What is DR. BRAD M JOHNSTON (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. BRAD M JOHNSTON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BRAD M JOHNSTON (M.D.) on a map?
Expect Fort Wayne, Indiana as a primary anchor for DR. BRAD M JOHNSTON (M.D.) unless the record lists multiple sites.
Is the information about DR. BRAD M JOHNSTON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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