NATHAN DANIEL JOHNSON (M.D.) – Facial Plastic Surgery Physician, NPI 1891089850
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for NATHAN DANIEL JOHNSON (M.D.)
2211 PARK AVE
MINNEAPOLIS, MN 554043711
Phone: (612) 871-1144
Fax: (612) 871-2012
Type: Mailing
1237 Delaware Ave
Buffalo, NY 142091435
Phone: (716) 362-9585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-06-10 • Largest payer in this snapshot: AERIN MEDICAL INC. ($140).
Total Amount
$175
General + Research + Ownership
Payments
4
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $140 |
| Optinose US, Inc. | $35 |
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: 2017-07-19
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 |
|---|---|---|---|---|
| I20170719001528 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 49 | 49 | $0 |
| 69210 | Removal of impacted ear wax | 45 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 39 | $0 |
| 92504 | Exam of ear using a microscope | 19 | 19 | $0 |
| 30901 | Simple control of nose bleed | 19 | 16 | $0 |
Insurance plans in this area (ZIP 55404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| Physician Assistant | MN | |
| Qualified Speech Language Pathologist | MN | |
| - | KS | |
| Qualified Audiologist | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| - | MN | |
| O T O L A R Y N G O L O G Y | MN |
Reviews
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