JAY S JOHNSON (M.D.) – Orthopaedic Trauma Physician, NPI 1295706059
Orthopaedic Trauma Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JAY S JOHNSON (M.D.)
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
SUITE 900
ST LOUIS PARK, MN 554261728
Phone: (952) 512-5600
Type: Mailing
Centennial Lakes Medical Center, 7373, France Avenue South, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435-4534, United States
SUITE 312
EDINA, MN 554354534
Phone: (952) 832-0076
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,392.
Total Amount is formed as General ($1,392) + Research ($0) + Ownership ($0) = $1,392.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,161).
Total Amount
$1,392
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,392
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,161 |
| Bioventus LLC | $139 |
| Onkos Surgical, Inc. | $92 |
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: 2020-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081020000461 | I | Orthopedic Surgery | MN | TBD |
| I20200717001572 | I | Orthopedic Surgery | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 104 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 131 | 87 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 89 | 89 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 55426)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 160 | 93 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| - | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Clinical Psychologist | AZ | |
| O P H T H A L M O L O G Y | MN | |
| N E U R O S U R G E R Y | AZ | |
| Internal Medicine | AZ | |
| - | MI | |
| Emergency Medicine | AZ | |
| Nurse Practitioner | AZ |
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