DR. MAGGIE SULLIVAN JOHNSON (M.D.) – Family Medicine Physician, NPI 1598119802
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,100 FAMILY PRACTICE in PA
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Provider Addresses for DR. MAGGIE SULLIVAN JOHNSON (M.D.)
36, Apple Ridge Road, Cayenne, West Springfield, Hampden County, Massachusetts, 01089, United States
WEST SPRINGFIELD, MA 010894548
Phone: (413) 204-1656
Type: Mailing
Market Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19104-2989, United States
PHILADELPHIA, PA 191045545
Phone: (215) 294-9284
Type: Location
20 DOROTHY E LUCEY DR
NEWBURYPORT, MA 019501781
Phone: (413) 204-1656
Type: Mailing
414 HAVERHILL ST
ROWLEY, MA 019691919
Phone: (877) 379-5522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-07-03
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 |
|---|---|---|---|---|
| I20190703001989 | I | Family Practice | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 248 | 155 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 99 | 11 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 99 | 99 | $0 |
| G0008 | Administration of influenza virus vaccine | 59 | 59 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 52 | 52 | $0 |
Insurance plans in this area (ZIP 01089)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Hospice/Palliative Care | MI | |
| Emergency Medicine | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | MA | |
| - | MA |
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