DR. JARED ALAN JOHNSON (MD) – Otolaryngology Physician, NPI 1750819868
Otolaryngology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
Provider Addresses for DR. JARED ALAN JOHNSON (MD)
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 480736710
Phone: (248) 551-5700
Type: Location
540 E Canfield St
Detroit, MI 482011928
Phone: (313) 577-1335
Type: Location
1120 NW 14th St Fl 5
Miami, FL 331362107
Phone: (305) 243-3564
Type: Location
18100 Oakwood Blvd Ste 303
Dearborn, MI 481244085
Phone: (313) 438-7998
Type: Location
WSU School of Medicine, 540, East Canfield Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482011928
Phone: (313) 577-1335
Type: Location
1380, East Shorewood Drive, Norton Shores, Muskegon County, Michigan, 49441, United States
NORTON SHORES, MI 494415292
Phone: (231) 736-8051
Type: Mailing
1120 NW 14TH ST FL 5
MIAMI, FL 331362107
Phone: (305) 243-3564
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone: (947) 522-4352
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,105.
Total Amount is formed as General ($1,105) + Research ($0) + Ownership ($0) = $1,105.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($650).
Total Amount
$1,105
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $650 |
| Integra LifeSciences Corporation | $285 |
| Stryker Corporation | $170 |
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: 2023-08-26
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 |
|---|---|---|---|---|
| I20230826000020 | I | Otolaryngology | MI | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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