DR. DAVID ALLEN JOHNSON (M.D.) – Family Medicine Physician, NPI 1639178619

DR. DAVID ALLEN JOHNSON (M.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01040579 (IN). The NPI Number for DR. DAVID ALLEN JOHNSON (M.D.) is 1639178619

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ALLEN JOHNSON (M.D.)
NPI
1639178619
Phone
(260) 266-8210
Address
3926 NEW VISION DR
Enumeration Date
20 July 2005
Last Update Date
17 February 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2605153275
Graduation Year
1991 (35 years ago)
PAC ID
9335194455
Group Practice PAC ID
4183014616
Professional Enrollment ID
I20120720000159
Address ID
IN468041518FO6326XDRXX300
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

2,862 FAMILY PRACTICE in IN

Provider Addresses for DR. DAVID ALLEN JOHNSON (M.D.)

  • 3926, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    SUITE 3

    FORT WAYNE, IN 468451712

    Phone: (260) 266-8210

    Type: Mailing

  • 4084 NORTH U.S HWY 33

    CHURUBUSCO, IN 467231700

    Phone: (260) 373-9595

    Fax: (260) 373-9599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

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: 2012-07-20

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
I20120720000159IFamily PracticeINTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6943$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2720$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2422$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

Loading plans...

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: 4183014616View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantIN
General SurgeryWA
Family PracticeIN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. DAVID ALLEN JOHNSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DAVID ALLEN JOHNSON (M.D.) uses 1639178619.
Can I rely on DR. DAVID ALLEN JOHNSON (M.D.) being an active provider?
As of the registry snapshot, DR. DAVID ALLEN JOHNSON (M.D.) is marked active.
What healthcare role does DR. DAVID ALLEN JOHNSON (M.D.) hold?
Scheduling teams often label DR. DAVID ALLEN JOHNSON (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DAVID ALLEN JOHNSON (M.D.) serve?
DR. DAVID ALLEN JOHNSON (M.D.)'s listing highlights Fort Wayne, Indiana; more addresses can appear in NPPES.
Is the information about DR. DAVID ALLEN JOHNSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

DR. TERRY L SHIPE (M.D.)

Family Medicine Physician
East Maumee Street, Angola, Steuben County, Indiana, 46703, United States
NPI: 1407859994

SYLVIA G MUSTONEN (DO)

Family Medicine Physician
804, Service Road, East Lansing, Ingham County, Michigan, 48824, United States
NPI: 1306848619

DR. JOSEPH ROBERT HUGUENARD (MD)

Family Medicine Physician
1700, Magnavox Way, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1598767782

JAMES BEITZEL (MD)

Family Medicine Physician
1234, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
NPI: 1912901851

DR. THOMAS P MASON (M.D.)

Family Medicine Physician
Door 61, 1314, East 7th Street, Auburn, DeKalb County, Indiana, 46706, United States
NPI: 1952306722

DR. ANTHONY G URIBES (M.D.)

Family Medicine Physician
11109 PARKVIEW PLAZA DR # 117
NPI: 1720084791

TODD ROBERT PAGE (MD)

Family Medicine Physician
Door 52, 1306, East 7th Street, Auburn, DeKalb County, Indiana, 46706, United States
NPI: 1184622367

DR. ROBERT LANCE BURTON (MD)

Family Medicine Physician
11109 PARKVIEW PLAZA DR # 117
NPI: 1689672636

DR. PHILIP J CHASE (MD)

Family Medicine Physician
3702, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
NPI: 1225036007