DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) – Epilepsy Physician, NPI 1205104411

DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) is a healthcare provider. based in Fort campbell, Kentucky. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. W1051 (TX). The NPI Number for DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) is 1205104411

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.)
NPI
1205104411
Phone
(270) 798-8400
Address
650 JOEL DRIVE
Enumeration Date
2 December 2011
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2392082212
Graduation Year
2011 (15 years ago)
PAC ID
3870739642
Group Practice PAC ID
9830425321
Professional Enrollment ID
I20221006000672
Address ID
CO802103022DE1595XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:14State licenses:3Digital endpointsOther names

330 NEUROLOGY in KY

Provider Addresses for DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.)

  • 650 JOEL DRIVE

    BLANCHFIELD ARMY COMMUNITY HOSPITAL

    FORT CAMPBELL, KY 42223

    Phone: (270) 798-8400

    Type: Mailing

  • 11215 METRO PKWY STE 1

    FORT MYERS, FL 339661206

    Phone: (239) 208-2212

    Type: Location

  • 14300 Orchard Pkwy

    Westminster, CO 800239206

    Phone: (303) 925-4060

    Fax: (303) 925-4061

    Type: Location

  • 4 W Dry Creek Cir Ste 150

    Littleton, CO 801208072

    Phone: (303) 730-2883

    Fax: (303) 730-2471

    Type: Location

  • 4 W DRY CREEK CIR STE 150

    LITTLETON, CO 801208072

    Phone: (303) 730-2883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 213 Open Payments records for all available years, with a total value of $19,682.

Total Amount is formed as General ($19,682) + Research ($0) + Ownership ($0) = $19,682.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: SK Life Science, Inc. ($15,510).

Total Amount

$19,682

General + Research + Ownership

Payments

213

Total payment records

General Amount

$19,682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2026-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20221006000672INeurologyCOTBD
I20250930003449INeurologyOHTBD
I20251003003216INeurologyNHTBD
I20251006003819INeurologyNDTBD
I20260313002369INeurologyGATBD

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
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or24269$0
99215Established patient office or other outpatient visit, 40-54 minutes15864$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6343$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6045$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional4928$0
View full utilization report →

Insurance plans in this area (ZIP 42223)

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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: 9830425321View full group profile

Reviews

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Frequently asked questions

How is DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) with NPI 1205104411.
Is DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) listed as active for patients and plans?
The listing shows DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) as active in the NPI system.
What is DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) best known for clinically?
Directory data describes DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) with Epilepsy Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) on a map?
Expect Fort Campbell, Kentucky as a primary anchor for DR. MICHAEL ANTHONY LEANDER JOHNSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
7 practice locations appear in the available data.