DR. MONTE JOHNSON (M.D.) – Family Medicine Physician, NPI 1174562862

DR. MONTE JOHNSON (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 42662 (MN). The NPI Number for DR. MONTE JOHNSON (M.D.) is 1174562862

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MONTE JOHNSON (M.D.)
NPI
1174562862
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
6 June 2006
Last Update Date
13 May 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9524283600
Graduation Year
1999 (27 years ago)
PAC ID
6002843356
Group Practice PAC ID
7214821909
Professional Enrollment ID
I20050719000769
Address ID
MN553793164SH8170XCTXX401
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

3,075 FAMILY PRACTICE in MN

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Provider Addresses for DR. MONTE JOHNSON (M.D.)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    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: 2005-07-19

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
I20050719000769IFamily 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
97811Acupuncture, each additional 15 minutes21728$0
97810Acupuncture, initial 15 minutes20328$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 7214821909View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Diagnostic RadiologyMN
Nurse PractitionerMN
-MN
Nurse PractitionerSD
Family PracticeMN
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
Emergency MedicineWI
Nurse PractitionerMN

Reviews

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Frequently asked questions

How do I look up DR. MONTE JOHNSON (M.D.) by NPI?
Use NPI 1174562862 when you need to reference DR. MONTE JOHNSON (M.D.) in forms, claims, or directories.
Is DR. MONTE JOHNSON (M.D.)'s NPI currently valid?
The extract we use shows DR. MONTE JOHNSON (M.D.) as active.
Does DR. MONTE JOHNSON (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. MONTE JOHNSON (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MONTE JOHNSON (M.D.)?
The page summarizes Minneapolis, Minnesota for DR. MONTE JOHNSON (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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