MARK D JOHNSON (MD PHD) – Neurological Surgery Physician, NPI 1578501797

MARK D JOHNSON (MD PHD) is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROSURGERY. They hold the professional credentials MD PHD. They hold a License No. 217384 (MA). The NPI Number for MARK D JOHNSON (MD PHD) is 1578501797

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK D JOHNSON (MD PHD)
NPI
1578501797
Phone
Not provided
Address
PO BOX 415348
Enumeration Date
2 June 2006
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
5083341000
Graduation Year
1995 (31 years ago)
PAC ID
9638353360
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20110405000263
Address ID
MA016550002WO55XXXNXXX400
Telehealth
Yes

Contacts

Secure Messaging
mjohnson131899@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

223 NEUROSURGERY in MA

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Provider Addresses for MARK D JOHNSON (MD PHD)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 856-2963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $347.

Total Amount is formed as General ($347) + Research ($0) + Ownership ($0) = $347.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Integra LifeSciences Corporation ($178).

Total Amount

$347

General + Research + Ownership

Payments

6

Total payment records

General Amount

$347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2011-04-05

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
I20110405000263INeurosurgeryMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5447$0
99214Established patient office or other outpatient visit, 30-39 minutes4736$0
99215Established patient office or other outpatient visit, 40-54 minutes1917$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Does MARK D JOHNSON (MD PHD) have a public NPI I can cite?
Public records show MARK D JOHNSON (MD PHD) under NPI 1578501797.
Should I treat MARK D JOHNSON (MD PHD) as an active provider?
Patients and plans typically see MARK D JOHNSON (MD PHD) as active in the national extract.
What services align with MARK D JOHNSON (MD PHD)'s listing?
MARK D JOHNSON (MD PHD)'s public classification highlights Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MARK D JOHNSON (MD PHD)?
The directory associates MARK D JOHNSON (MD PHD) with Boston, Massachusetts. Check all listed addresses for suites or satellite offices.
Why is information missing for MARK D JOHNSON (MD PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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