DR. JUSTIN DALE JOHNSON (M.D.) – Urology Physician, NPI 1013179001

DR. JUSTIN DALE JOHNSON (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 5815 (NE). The NPI Number for DR. JUSTIN DALE JOHNSON (M.D.) is 1013179001

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN DALE JOHNSON (M.D.)
NPI
1013179001
Phone
(859) 258-6450
Address
1401 HARRODSBURG RD
Enumeration Date
30 June 2008
Last Update Date
6 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592586950
Graduation Year
2008 (18 years ago)
PAC ID
8820216492
Group Practice PAC ID
3476457532
Professional Enrollment ID
I20140822001056
Address ID
KY405032162LE2444XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

156 UROLOGY in KY

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Provider Addresses for DR. JUSTIN DALE JOHNSON (M.D.)

  • Harrodsburg Road, Twin Oaks, Garden Springs, Lexington, Fayette County, Kentucky, 40390:40513, United States

    SUITE C-215

    LEXINGTON, KY 405043751

    Phone: (859) 258-6450

    Fax: (859) 258-6499

    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)

CMS reports 47 Open Payments records for all available years, with a total value of $2,335.

Total Amount is formed as General ($2,335) + Research ($0) + Ownership ($0) = $2,335.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teleflex LLC ($1,367).

Total Amount

$2,335

General + Research + Ownership

Payments

47

Total payment records

General Amount

$2,335

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-08-22

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
I20140822001056IUrologyKYTBD

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
81003Automated urinalysis test896516$0
99214Established patient office or other outpatient visit, 30-39 minutes745443$0
99213Established patient office or other outpatient visit, 20-29 minutes324234$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg20422$0
84153Psa (prostate specific antigen) measurement, total180134$0
View full utilization report →

Insurance plans in this area (ZIP 40504)

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Provider's Procedures

DR. JUSTIN DALE JOHNSON (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYKY76872Ultrasound of rectum1312

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: 3476457532View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JUSTIN DALE JOHNSON (M.D.)?
DR. JUSTIN DALE JOHNSON (M.D.) — NPI 1013179001 — is the standard way to identify this listing.
Does CMS list DR. JUSTIN DALE JOHNSON (M.D.) as active?
Yes — DR. JUSTIN DALE JOHNSON (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. JUSTIN DALE JOHNSON (M.D.)?
For research purposes, treat DR. JUSTIN DALE JOHNSON (M.D.) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JUSTIN DALE JOHNSON (M.D.) on a map?
Expect Lexington, Kentucky as a primary anchor for DR. JUSTIN DALE JOHNSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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