DR. DERICK MICHAEL JOHNSON (D.O.) – Orthopaedic Surgery Physician, NPI 1972768232
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 ORTHOPEDIC SURGERY in MI
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Provider Addresses for DR. DERICK MICHAEL JOHNSON (D.O.)
3299, North Wellness Drive, Holland Charter Township, Ottawa County, Michigan, 49424, United States
BLDG C, #150
HOLLAND, MI 494247269
Phone: (616) 738-3884
Fax: (616) 738-4432
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $36,717.
Total Amount is formed as General ($36,717) + Research ($0) + Ownership ($0) = $36,717.
Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Stryker Corporation ($36,675).
Total Amount
$36,717
General + Research + Ownership
Payments
24
Total payment records
General Amount
$36,717
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $36,675 |
| Medwest Associates | $42 |
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: 2011-02-10
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 |
|---|---|---|---|---|
| I20110210001175 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 73564 | X-ray of knee, 4 or more views | 157 | 148 | $0 |
| 73502 | X-ray of hip, 2-3 views | 148 | 119 | $0 |
| 73560 | X-ray of knee, 1-2 views | 63 | 55 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 51 | 50 | $0 |
Insurance plans in this area (ZIP 49424)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MI | 27447 | Repair of knee joint | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI |
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