MICHAEL B. JOHNSON (M.D.) – Otolaryngology Physician, NPI 1871595850

MICHAEL B. JOHNSON (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 43178 (MN). The NPI Number for MICHAEL B. JOHNSON (M.D.) is 1871595850

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL B. JOHNSON (M.D.)
NPI
1871595850
Phone
(612) 871-1144
Address
2211 PARK AVE
Enumeration Date
10 August 2005
Last Update Date
5 July 2013

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6128711144
Graduation Year
1991 (35 years ago)
PAC ID
8123047362
Group Practice PAC ID
3274524020
Professional Enrollment ID
I20100414000951
Address ID
MN553694483MA9550XLNXX401
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

273 OTOLARYNGOLOGY in MN

Provider Addresses for MICHAEL B. JOHNSON (M.D.)

  • Park Avenue, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554043711

    Phone: (612) 871-1144

    Fax: (612) 871-2012

    Type: Mailing

  • 347 SMITH AVE N

    SUITE 602

    SAINT PAUL, MN 551022387

    Phone: (651) 227-0821

    Fax: (651) 297-6597

    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: 2010-04-14

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
I20100414000951IOtolaryngologyMNTBD

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
69210Removal of impacted ear wax7647$0
99203New patient office or other outpatient visit, 30-44 minutes7474$0
99213Established patient office or other outpatient visit, 20-29 minutes5446$0
92504Exam of ear using a microscope5350$0
99202New patient office or other outpatient visit, 15-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 55404)

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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: 3274524020View full group profile
NameSpecialtyState
-MN
Qualified AudiologistMN
Qualified AudiologistMN
Physician AssistantMN
Qualified Speech Language PathologistMN
-KS
Qualified AudiologistMN
O T O L A R Y N G O L O G YMN
-MN
O T O L A R Y N G O L O G YAL

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL B. JOHNSON (M.D.)'s NPI?
Yes. MICHAEL B. JOHNSON (M.D.) is listed with NPI 1871595850 in the public NPI dataset.
Is MICHAEL B. JOHNSON (M.D.) listed as active for patients and plans?
The listing shows MICHAEL B. JOHNSON (M.D.) as active in the NPI system.
What healthcare role does MICHAEL B. JOHNSON (M.D.) hold?
Scheduling teams often label MICHAEL B. JOHNSON (M.D.) under Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL B. JOHNSON (M.D.) based?
MICHAEL B. JOHNSON (M.D.) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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