DR. CHRIS J JOHNSON (M.D.) – Family Medicine Physician, NPI 1104800267

DR. CHRIS J JOHNSON (M.D.) is a healthcare provider. based in Minnetrista, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 26258 (MN). The NPI Number for DR. CHRIS J JOHNSON (M.D.) is 1104800267

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRIS J JOHNSON (M.D.)
NPI
1104800267
Phone
(612) 868-0136
Address
5520 RIDGEWOOD CV
Enumeration Date
2 December 2005
Last Update Date
25 October 2011

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
80087305611
Graduation Year
1980 (46 years ago)
PAC ID
1759448046
Group Practice PAC ID
6305024373
Professional Enrollment ID
I20090401000416
Address ID
MN553648239MI5520XCVXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DR. CHRIS J JOHNSON (M.D.)

  • 5520, Ridgewood Cove, Minnetrista, Hennepin County, Minnesota, 55364, United States

    MINNETRISTA, MN 553648239

    Phone: (612) 868-0136

    Fax: (952) 472-7918

    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)

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: 2009-04-01

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
I20090401000416IFamily PracticeMNTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes224193$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7443$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes3332$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1919$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1111$0
View full utilization report →

Insurance plans in this area (ZIP 55364)

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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: 6305024373View full group profile
NameSpecialtyState
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I verify DR. CHRIS J JOHNSON (M.D.) with an NPI only?
You can start verification with NPI 1104800267 for DR. CHRIS J JOHNSON (M.D.), then check state licensing separately.
Can I rely on DR. CHRIS J JOHNSON (M.D.) being an active provider?
As of the registry snapshot, DR. CHRIS J JOHNSON (M.D.) is marked active.
What is DR. CHRIS J JOHNSON (M.D.)'s specialty?
The listing groups DR. CHRIS J JOHNSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CHRIS J JOHNSON (M.D.) on a map?
Expect Minnetrista, Minnesota as a primary anchor for DR. CHRIS J JOHNSON (M.D.) unless the record lists multiple sites.
Is the information about DR. CHRIS J 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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