ROBERT G JOHNSON (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1114021722
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
48 THORACIC SURGERY in MS
Provider Addresses for ROBERT G JOHNSON (MD)
4300 Hospital St Ste 106
Pascagoula, MS 395815306
Phone: (228) 762-3000
Fax: (228) 762-3026
Type: Location
3603, Bienville Boulevard, Fort Bayou Estates, Ocean Springs, Jackson County, Mississippi, 39564, United States
SUITE 103
OCEAN SPRINGS, MS 395645727
Phone: (228) 762-3000
Fax: (228) 818-4151
Type: Location
3535, Bienville Boulevard, Fort Bayou Estates, Ocean Springs, Jackson County, Mississippi, 39564, United States
PROVIDER ENROLLMENT
OCEAN SPRINGS, MS 395645705
Phone: (228) 762-3000
Fax: (228) 818-4151
Type: Mailing
2101 HIGHWAY 90
GAUTIER, MS 395535340
Phone: (228) 497-7576
Fax: (228) 497-8869
Type: Mailing
3603 BIENVILLE BLVD STE 103
OCEAN SPRINGS, MS 395645736
Phone: (228) 762-3000
Fax: (228) 818-4151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-05-26 • Largest payer in this snapshot: Ethicon US, LLC ($144).
Total Amount
$250
General + Research + Ownership
Payments
11
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $144 |
| ATRICURE, INC. | $35 |
| Stryker Corporation | $30 |
| Werfen USA LLC | $21 |
| LivaNova USA, Inc. | $21 |
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: 2012-03-19
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 |
|---|---|---|---|---|
| I20120319000239 | I | Thoracic Surgery | MS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39581)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | MS | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 12 | 12 |
| THORACIC SURGERY | MS | 33518 | Combined multiple vein and artery heart artery bypasses | 15 | 15 |
| THORACIC SURGERY | MS | 33533 | Heart artery bypass to repair one artery | 38 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| Internal Medicine | AL | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| - | MS | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Nurse Practitioner | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Nurse Practitioner | MS |
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