DONALD JON JOHNSON (PA) – Physician Assistant, NPI 1043205958

DONALD JON JOHNSON (PA) is a healthcare provider. based in Flemingsburg, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA375 (KY). The NPI Number for DONALD JON JOHNSON (PA) is 1043205958

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DONALD JON JOHNSON (PA)
NPI
1043205958
Phone
(606) 849-2323
Address
732 ELIZAVILLE AVE
Enumeration Date
16 September 2005
Last Update Date
25 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
3678547668
Group Practice PAC ID
9032276274
Professional Enrollment ID
I20040825000175
Address ID
KY410568728MA991XXDRXX400
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

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for DONALD JON JOHNSON (PA)

  • 732, Elizaville Avenue, Flemingsburg, Fleming County, Kentucky, 41041, United States

    P.O. BOX 344

    FLEMINGSBURG, KY 410411139

    Phone: (606) 849-2323

    Fax: (606) 849-2025

    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 24 Open Payments records for all available years, with a total value of $451.

Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($143).

Total Amount

$451

General + Research + Ownership

Payments

24

Total payment records

General Amount

$451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2004-08-25

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
I20040825000175IPhysician AssistantKYTBD

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 test3119$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2928$0
71046X-ray of chest, 2 views1612$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1212$0
View full utilization report →

Insurance plans in this area (ZIP 41041)

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Provider's Procedures

DONALD JON JOHNSON (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKY20610Aspiration and/or injection of large joint or joint capsule7139

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: 9032276274View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerKY
-KY
Internal Medicine, Pediatric MedicineKY
Nurse PractitionerTN
Physician AssistantKY
Internal MedicineKY
O T O L A R Y N G O L O G YOH
-KY
P O D I A T R YPA

Reviews

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Frequently asked questions

Is there an official ID for DONALD JON JOHNSON (PA) in U.S. healthcare records?
The official identifier for DONALD JON JOHNSON (PA) is NPI 1043205958.
Is there an active status for DONALD JON JOHNSON (PA)?
For scheduling context, DONALD JON JOHNSON (PA) is shown as active in the registry.
What clinical focus is listed for DONALD JON JOHNSON (PA)?
At a glance, DONALD JON JOHNSON (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with DONALD JON JOHNSON (PA)?
Directory geography for DONALD JON JOHNSON (PA) centers on Flemingsburg, Kentucky.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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