MR. BRADLEY CRAIG JOHNSON (PA-C) – Physician Assistant, NPI 1134414246
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. BRADLEY CRAIG JOHNSON (PA-C)
PO BOX 186
GRAND RAPIDS, MI 495010186
Phone: (616) 364-5228
Type: Mailing
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 495034502
Phone: (616) 685-5907
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Boston Scientific Corporation ($95).
Total Amount
$95
General + Research + Ownership
Payments
3
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $95 |
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: 2018-06-12
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 |
|---|---|---|---|---|
| I20180612003117 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 139 | 35 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 92 | 66 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 34 | 30 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 32 | 28 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 29 | 24 | $0 |
Insurance plans in this area (ZIP 49501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 79 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Physician Assistant | IL | |
| Diagnostic Radiology | IN | |
| - | IN | |
| - | IN | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN |
Reviews
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