JASON SCOTT JOHNSON (M.D.) – Anesthesiology Physician, NPI 1053302026

JASON SCOTT JOHNSON (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ANESTHESIOLOGY, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 46766 (MN). The NPI Number for JASON SCOTT JOHNSON (M.D.) is 1053302026

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JASON SCOTT JOHNSON (M.D.)
NPI
1053302026
Phone
(612) 624-9900
Address
420 DELAWARE ST SE
Enumeration Date
31 October 2005
Last Update Date
4 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7153953990
Graduation Year
2003 (23 years ago)
PAC ID
1355393588
Group Practice PAC ID
7113834839
Professional Enrollment ID
I20201221001867
Address ID
WI548806548SU109XXEXXX500

Contacts

Secure Messaging
him@slk.direct.slhduluth.com
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

969 ANESTHESIOLOGY in MN

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Provider Addresses for JASON SCOTT JOHNSON (M.D.)

  • Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MMC 294 MAYO 8294

    MINNEAPOLIS, MN 554550341

    Phone: (612) 624-9900

    Type: Mailing

  • 915 E 1ST ST

    DULUTH, MN 558052107

    Phone: (218) 249-5555

    Type: Mailing

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: 2020-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050216000588IAnesthesiologyMNTBD
I20201221001867IAnesthesiologyWITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5150$0
00811Anesthesia for other procedure on large bowel using an endoscope4847$0
00142Anesthesia for lens surgery3333$0
00813Anesthesia for procedure on small and large bowel using an endoscope3030$0
00812Anesthesia for exam of colon using an endoscope2828$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 7113834839View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Vascular SurgeryIL
Physician AssistantMN
Emergency MedicineMN
-MN
Emergency MedicineMN
-MN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm JASON SCOTT JOHNSON (M.D.)'s NPI?
Yes. JASON SCOTT JOHNSON (M.D.) is listed with NPI 1053302026 in the public NPI dataset.
Can I rely on JASON SCOTT JOHNSON (M.D.) being an active provider?
As of the registry snapshot, JASON SCOTT JOHNSON (M.D.) is marked active.
What is JASON SCOTT JOHNSON (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for JASON SCOTT JOHNSON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect JASON SCOTT JOHNSON (M.D.) on a map?
Expect Minneapolis, Minnesota as a primary anchor for JASON SCOTT JOHNSON (M.D.) unless the record lists multiple sites.
Is the information about JASON SCOTT JOHNSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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