LARRY DEAN JOHNSON (PA) – Physician Assistant, NPI 1205970365
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
Provider Addresses for LARRY DEAN JOHNSON (PA)
PO BOX 650
BRANSON, MO 65615
Phone: (417) 335-7218
Fax: (417) 335-7588
Type: Mailing
620 NORTH MAIN
HARRISON, AR 726012911
Phone: (870) 365-2000
Type: Location
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 269-7241
Fax: (417) 269-7567
Type: Mailing
525 BRANSON LANDING BLVD
BRANSON, MO 656162052
Phone: (417) 348-8646
Fax: (417) 335-7529
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: 2008-07-29
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 |
|---|---|---|---|---|
| I20050228000538 | I | Physician Assistant | MO | TBD |
| I20080729000317 | I | Physician Assistant | AR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 428 | 390 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 184 | 19 | $0 |
| 81003 | Automated urinalysis test | 67 | 64 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 45 | 25 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 44 | 44 | $0 |
Insurance plans in this area (ZIP 65615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AR | 81002 | Urinalysis, manual test | 56 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| R H E U M A T O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| R H E U M A T O L O G Y | MO |
Reviews
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