TRACY MICHELLE JOHNSON (P.A) – Medical Physician Assistant, NPI 1568820629
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TRACY MICHELLE JOHNSON (P.A)
475, Williamsburg, Whitehouse, Smith County, Texas, 75791, United States
SUITE 100
WILLIAMSBURG, KY 407691576
Phone: (606) 549-2930
Fax: (606) 549-3036
Type: Mailing
475 N Highway 25 W
Suite 100
Williamsburg, KY 407691576
Phone: (606) 549-2930
Fax: (606) 549-3036
Type: Location
1221 S BROADWAY
LEXINGTON, KY 405042701
Phone: (859) 258-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $319.
Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Dexcom, Inc. ($114).
Total Amount
$319
General + Research + Ownership
Payments
12
Total payment records
General Amount
$319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $114 |
| Bayer Healthcare Pharmaceuticals Inc. | $84 |
| Lilly USA, LLC | $32 |
| GlaxoSmithKline, LLC. | $25 |
| Ferring Pharmaceuticals Inc. | $17 |
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: 2022-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221107000907 | I | Physician Assistant | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40769)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | TN | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | KY |
Reviews
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