GARY B JOHNSON (M.D., MPH, FACOEM) – Preventive Medicine/Occupational Environmental Medicine Physician, NPI 1679673321
Preventive Medicine/Occupational Environmental Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
306 PHYSICAL MEDICINE AND REHABILITATION in MN
Provider Addresses for GARY B JOHNSON (M.D., MPH, FACOEM)
5100 GAMBLE DR. SUITE 100
MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 554161582
Phone: (952) 541-2500
Fax: (952) 595-6455
Type: Location
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 553692684
Phone: (763) 201-8191
Type: Mailing
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
MS 21110Q
MINNEAPOLIS, MN 554254516
Phone: (952) 883-5375
Fax: (952) 595-6455
Type: Mailing
7700 FRANCE AVE S STE 240
EDINA, MN 554355878
Phone: (763) 201-8191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $361.
Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Boston Scientific Corporation ($172).
Total Amount
$361
General + Research + Ownership
Payments
5
Total payment records
General Amount
$361
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $172 |
| SPR Therapeutics, Inc | $129 |
| Saluda Medical Americas, Inc. | $59 |
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: 2004-02-02
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 |
|---|---|---|---|---|
| I20040202000529 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 21 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Pain Management, Family Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Anesthesiology, Interventional Pain Management | MN | |
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN |
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