DR. MELANIE JOHNSON (D.P.M.) – Foot Surgery Podiatrist, NPI 1053639732

DR. MELANIE JOHNSON (D.P.M.) is a healthcare provider. based in White bear lake, Minnesota. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 939 (MN). The NPI Number for DR. MELANIE JOHNSON (D.P.M.) is 1053639732

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELANIE JOHNSON (D.P.M.)
NPI
1053639732
Phone
(651) 426-3995
Address
4653 WHITE BEAR PKWY
Enumeration Date
5 May 2010
Last Update Date
23 October 2018

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
6514263995
Graduation Year
2010 (16 years ago)
PAC ID
2062636673
Group Practice PAC ID
0941423396
Professional Enrollment ID
I20160111001713
Address ID
MN551273602WH4520XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

232 PODIATRY in MN

Provider Addresses for DR. MELANIE JOHNSON (D.P.M.)

  • 4653 WHITE BEAR PKWY

    WHITE BEAR LAKE, MN 551103300

    Phone: (651) 426-3995

    Fax: (651) 426-5626

    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 4 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Orthofix Medical, Inc. ($43).

Total Amount

$119

General + Research + Ownership

Payments

4

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160111001713IPodiatryMNTBD

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
11721Removal of fingernails or toenails, 6 or more nails445179$0
99213Established patient office or other outpatient visit, 20-29 minutes380145$0
11056Removal of noncancer thickened skin growth, 2-4 growths12260$0
11042Removal of skin and tissue, 20.0 sq cm or less7217$0
99203New patient office or other outpatient visit, 30-44 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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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: 0941423396View full group profile
NameSpecialtyState
P O D I A T R YPA
P O D I A T R YMN
P O D I A T R YMN
P O D I A T R YMN

Reviews

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Frequently asked questions

What federal number belongs to DR. MELANIE JOHNSON (D.P.M.)?
The federal identifier for DR. MELANIE JOHNSON (D.P.M.) is NPI 1053639732.
Is DR. MELANIE JOHNSON (D.P.M.)'s NPI currently valid?
The extract we use shows DR. MELANIE JOHNSON (D.P.M.) as active.
What kind of provider is DR. MELANIE JOHNSON (D.P.M.)?
The page reflects Foot Surgery Podiatrist for DR. MELANIE JOHNSON (D.P.M.). Clinical services aligned with this taxonomy classification.
Does DR. MELANIE JOHNSON (D.P.M.) practice in Minnesota?
You will see White Bear Lake, Minnesota on file for DR. MELANIE JOHNSON (D.P.M.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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