ZACHARY JOHNSON (MD) – Family Medicine Physician, NPI 1427624030

ZACHARY JOHNSON (MD) is a healthcare provider. based in Des moines, Iowa. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. R-12114 (IA). The NPI Number for ZACHARY JOHNSON (MD) is 1427624030

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY JOHNSON (MD)
NPI
1427624030
Phone
(515) 643-2682
Address
PO BOX 1475
Enumeration Date
3 June 2021
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6417743000
Graduation Year
2020 (6 years ago)
PAC ID
4587064886
Group Practice PAC ID
8921916792
Professional Enrollment ID
I20240320003410
Address ID
IA500491210CH1200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

33 GENERAL PRACTICE in IA

Provider Addresses for ZACHARY JOHNSON (MD)

  • PO BOX 1475

    DES MOINES, IA 503051475

    Phone: (515) 643-2682

    Fax: (515) 643-5802

    Type: Mailing

  • 1111 6TH AVE

    DES MOINES, IA 503142613

    Phone: (515) 643-2682

    Fax: (515) 643-5802

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($51).

Total Amount

$134

General + Research + Ownership

Payments

8

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

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: 2024-03-20

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
I20240320003410IGeneral PracticeIATBD

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 50305)

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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: 8921916792View full group profile
NameSpecialtyState
Physician AssistantIA
Family Practice, Obstetrics/GynecologyIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIN
Physician AssistantIA
Family Practice, Geriatric MedicineIA
Physician AssistantIA

Reviews

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Frequently asked questions

Can I verify ZACHARY JOHNSON (MD) with an NPI only?
You can start verification with NPI 1427624030 for ZACHARY JOHNSON (MD), then check state licensing separately.
Can I rely on ZACHARY JOHNSON (MD) being an active provider?
As of the registry snapshot, ZACHARY JOHNSON (MD) is marked active.
What taxonomy line describes ZACHARY JOHNSON (MD)?
For research purposes, treat ZACHARY JOHNSON (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ZACHARY JOHNSON (MD) based?
ZACHARY JOHNSON (MD) is tied to Des Moines, Iowa in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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