MICHAEL RANDALL JOHNSON (MD) – Orthopaedic Surgery Physician, NPI 1972784056
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
819 ORTHOPEDIC SURGERY in MN
Provider Addresses for MICHAEL RANDALL JOHNSON (MD)
4040 RADIO DR
WOODBURY, MN 551293237
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Location
PO BOX 95
701HEWITT BLVD
RED WING, MN 550660095
Phone: (651) 267-5000
Type: Mailing
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 554314442
Phone: (952) 512-5600
Type: Mailing
Mayo Clinic Health System - Red Wing, 701, Hewitt Boulevard, Red Wing, Goodhue County, Minnesota, 55066, United States
RED WING, MN 550662848
Phone: (651) 267-5675
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 $267.
Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($181).
Total Amount
$267
General + Research + Ownership
Payments
5
Total payment records
General Amount
$267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $181 |
| Stryker Corporation | $86 |
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: 2024-09-12
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 |
|---|---|---|---|---|
| I20101102001449 | I | Orthopedic Surgery | MN | TBD |
| I20240912000080 | I | Orthopedic Surgery | WI | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 142 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 103 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 25 | 24 | $0 |
Insurance plans in this area (ZIP 55129)
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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 | 98 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Orthopedic Surgery | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | TX |
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