MR. DOUGLAS EDWARD JOHNSON (DO) – Emergency Medicine Physician, NPI 1225039118

MR. DOUGLAS EDWARD JOHNSON (DO) is a healthcare provider. based in Ulysses, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 05-27920 (KS). The NPI Number for MR. DOUGLAS EDWARD JOHNSON (DO) is 1225039118

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOUGLAS EDWARD JOHNSON (DO)
NPI
1225039118
Phone
(620) 356-5870
Address
202 W KANSAS AVE
Enumeration Date
2 August 2005
Last Update Date
8 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203561261
Graduation Year
1991 (35 years ago)
PAC ID
6507809019
Group Practice PAC ID
4789595844
Professional Enrollment ID
I20050606001051
Address ID
KS678802135UL505XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for MR. DOUGLAS EDWARD JOHNSON (DO)

  • 202, West Kansas Avenue, Ulysses, Grant County, Kansas, 67880, United States

    ULYSSES, KS 678802034

    Phone: (620) 356-5870

    Fax: (620) 356-5867

    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: 2005-06-06

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
I20050606001051IFamily PracticeKSTBD

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
99285Emergency department visit with high level of medical decision making178162$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only125109$0
99284Emergency department visit with moderate level of medical decision making8982$0
99291Critical care, first 30-74 minutes6361$0
99283Emergency department visit with low level of medical decision making2421$0
View full utilization report →

Insurance plans in this area (ZIP 67880)

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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: 4789595844View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MR. DOUGLAS EDWARD JOHNSON (DO)?
Save NPI 1225039118 if you need a stable reference for MR. DOUGLAS EDWARD JOHNSON (DO).
Is MR. DOUGLAS EDWARD JOHNSON (DO) active in the national directory?
MR. DOUGLAS EDWARD JOHNSON (DO)'s public NPI profile is in an active state.
What does MR. DOUGLAS EDWARD JOHNSON (DO) treat or focus on?
Patients typically see MR. DOUGLAS EDWARD JOHNSON (DO) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MR. DOUGLAS EDWARD JOHNSON (DO)'s primary listing?
We display Ulysses, Kansas because that is what the record indicates for MR. DOUGLAS EDWARD JOHNSON (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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