DR. STEPHANIE JO JOHNSON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1629089800
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
41 PATHOLOGY in SD
Provider Addresses for DR. STEPHANIE JO JOHNSON (MD)
Avera Medical Group Spencer, 116, East 11th Street, Spencer, Clay County, Iowa, 51301, United States
SUITE 204
SPENCER, IA 513014300
Phone: (712) 262-3795
Fax: (712) 262-3076
Type: Mailing
1325 S Cliff Ave
Sioux Falls, SD 571051007
Phone: (605) 322-7200
Fax: (605) 322-7222
Type: Location
PO BOX 5050
SIOUX FALLS, SD 571175050
Phone: (605) 322-7200
Fax: (605) 322-7222
Type: Mailing
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 571051019
Phone: (605) 322-7200
Fax: (605) 322-7222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $24 |
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: 2023-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20151026002912 | I | Pathology | SD | TBD |
| I20210811001972 | I | Pathology | CO | TBD |
| I20230515001305 | I | Pathology | NE | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 365 | 216 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 131 | 27 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 96 | 78 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 20 | 17 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 19 | 11 | $0 |
Insurance plans in this area (ZIP 51301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 12 | 12 |
| PATHOLOGY | IA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 34 | 30 |
| PATHOLOGY | IA | 88342 | Tissue or cell analysis by immunologic technique | 43 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| - | NE | |
| P A T H O L O G Y | NE |
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