MR. LARRY C JOHNSON (MD) – Family Medicine Physician, NPI 1285653618

MR. LARRY C JOHNSON (MD) is a healthcare provider. based in Covington, Kentucky. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35775 (KY). The NPI Number for MR. LARRY C JOHNSON (MD) is 1285653618

Main info

Male
27 Years Of Experience
Name
MR. LARRY C JOHNSON (MD)
NPI
1285653618
Phone
(859) 655-6100
Address
1401 MADISON AVE
Enumeration Date
18 July 2006
Last Update Date
5 December 2018

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8595671591
Graduation Year
1999 (27 years ago)
PAC ID
1850384264
Group Practice PAC ID
4082798699
Professional Enrollment ID
I20041115001133
Address ID
KY410959561WA441XXWXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

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Provider Addresses for MR. LARRY C JOHNSON (MD)

  • Madison Avenue, Covington, Kenton County, Kentucky, 41071-9998, United States

    COVINGTON, KY 410113313

    Phone: (859) 655-6100

    Fax: (859) 655-6148

    Type: Mailing

  • Progress Way, Owenton, Owen County, Kentucky, United States

    OWENTON, KY 403596032

    Phone: (844) 655-6100

    Fax: (502) 484-2102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 148 Open Payments records for all available years, with a total value of $2,539.

Total Amount is formed as General ($2,539) + Research ($0) + Ownership ($0) = $2,539.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($555).

Total Amount

$2,539

General + Research + Ownership

Payments

148

Total payment records

General Amount

$2,539

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-11-15

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
I20041115001133IFamily PracticeKYTBD

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
96372Injection of drug or substance under skin or into muscle8857$0
J1040Injection, methylprednisolone acetate, 80 mg7254$0
81003Automated urinalysis test1917$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1513$0
View full utilization report →

Insurance plans in this area (ZIP 41011)

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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: 4082798699View full group profile
NameSpecialtyState
-KY
Family PracticeKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
P S Y C H I A T R YKY
Family PracticeKY

Reviews

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Frequently asked questions

Does MR. LARRY C JOHNSON (MD) have a public NPI I can cite?
Public records show MR. LARRY C JOHNSON (MD) under NPI 1285653618.
Quick check: is MR. LARRY C JOHNSON (MD) active?
Public NPPES data shows MR. LARRY C JOHNSON (MD) with an active NPI status right now.
Which specialty label fits MR. LARRY C JOHNSON (MD)?
NPPES ties MR. LARRY C JOHNSON (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. LARRY C JOHNSON (MD)?
MR. LARRY C JOHNSON (MD) shows a connection to Covington, Kentucky in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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