WADE JOHNSON (DO) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1235530890
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
243 SPORTS MEDICINE in MN
Provider Addresses for WADE JOHNSON (DO)
1025 MARSH ST
MANKATO, MN 560014752
Phone: (507) 625-4031
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone:
Type: Mailing
100 Woods Rd
Valhalla, NY 10595
Phone: (914) 493-7000
Type: Location
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
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: 2018-08-02
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 |
|---|---|---|---|---|
| I20180802002147 | I | Sports Medicine | MN | 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 |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 126 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 67 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 34 | 26 | $0 |
Insurance plans in this area (ZIP 56001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Internal Medicine | ONTARIO | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | AR |
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