DAVID W JOHNSON (MD) – Diagnostic Radiology Physician, NPI 1730164070

DAVID W JOHNSON (MD) is a healthcare provider. based in Mankato, Minnesota. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 46365 (MN). The NPI Number for DAVID W JOHNSON (MD) is 1730164070

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DAVID W JOHNSON (MD)
NPI
1730164070
Phone
(507) 625-4031
Address
1025 MARSH ST
Enumeration Date
9 December 2005
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5076254031
Graduation Year
1980 (46 years ago)
PAC ID
8820999626
Group Practice PAC ID
4688585771
Professional Enrollment ID
I20040115000521

Contacts

Secure Messaging
djohnson90293@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

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Provider Addresses for DAVID W JOHNSON (MD)

  • Mayo Clinic Health System, 1025, Marsh Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560014752

    Phone: (507) 625-4031

    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: 2005-10-20

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
I20051020000151IDiagnostic RadiologyWITBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml10,85882$0
A9585Injection, gadobutrol, 0.1 ml7,30070$0
71046X-ray of chest, 2 views561531$0
71045X-ray of chest, 1 view300269$0
70450Ct scan head or brain without contrast226210$0
View full utilization report →

Insurance plans in this area (ZIP 56001)

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Provider's Procedures

DAVID W JOHNSON (MD) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN71010X-ray of chest, 1 view, front281233
DIAGNOSTIC RADIOLOGYMN73110X-ray of wrist, minimum of 3 views3228
DIAGNOSTIC RADIOLOGYMN73562X-ray of knee, 3 views3533
DIAGNOSTIC RADIOLOGYMN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5554

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: 4688585771View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeMN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeMN
Internal MedicineONTARIO
Nurse PractitionerMN
Family PracticeMN
Family PracticeAR

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID W JOHNSON (MD)?
NPI 1730164070 is assigned to DAVID W JOHNSON (MD) under the national enumeration system.
Is DAVID W JOHNSON (MD) currently active in the NPI registry?
CMS-published data lists DAVID W JOHNSON (MD) as an active registrant.
Does DAVID W JOHNSON (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DAVID W JOHNSON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID W JOHNSON (MD)?
The page summarizes Mankato, Minnesota for DAVID W JOHNSON (MD); expand the address list for detail.
How can I contact DAVID W JOHNSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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