JOHNNY CREED STEWART (MD) – Dermatology Physician, NPI 1730157439

JOHNNY CREED STEWART (MD) is a healthcare provider. based in Joplin, Missouri. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2026013576 (MO). The NPI Number for JOHNNY CREED STEWART (MD) is 1730157439

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNY CREED STEWART (MD)
NPI
1730157439
Phone
(417) 624-0440
Address
2829 S JACKSON AVE
Enumeration Date
9 March 2006
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9187492261
Graduation Year
1996 (30 years ago)
PAC ID
9830387786
Group Practice PAC ID
7719079839
Professional Enrollment ID
I20190220001640
Address ID
OK741141409TU2121XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

337 DERMATOLOGY in MO

Provider Addresses for JOHNNY CREED STEWART (MD)

  • 2829 S JACKSON AVE

    JOPLIN, MO 648042525

    Phone: (417) 624-0440

    Type: Location

  • 815, Pecan Grove Road, Sherman, Grayson County, Texas, 75090, United States

    SHERMAN, TX 750901768

    Phone: (903) 892-2126

    Fax: (903) 892-2129

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 228 Open Payments records for all available years, with a total value of $4,341.

Total Amount is formed as General ($4,341) + Research ($0) + Ownership ($0) = $4,341.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($692).

Total Amount

$4,341

General + Research + Ownership

Payments

228

Total payment records

General Amount

$4,341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-20

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
I20190220001640IDermatologyOKTBD

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
17003Destruction of precancer skin growth, 2-14 growths4,261746$0
99213Established patient office or other outpatient visit, 20-29 minutes2,3541,454$0
17000Destruction of precancer skin growth, 1 growth1,5641,057$0
17110Destruction of skin growth, 1-14 growths731612$0
11102Biopsy of related skin growth, first growth419381$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

Loading plans...

Provider's Procedures

JOHNNY CREED STEWART (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue221152
DERMATOLOGYTX17003Destruction of 2-14 skin growths84361309
DERMATOLOGYTX88304Pathology examination of tissue using a microscope, moderately low complexity4536

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: 7719079839View full group profile
NameSpecialtyState
D E R M A T O L O G YOK
D E R M A T O L O G YOK
D E R M A T O L O G YOK
-OK
D E R M A T O L O G YOK
D E R M A T O L O G YOK
D E R M A T O L O G YOK
D E R M A T O L O G YOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for JOHNNY CREED STEWART (MD)?
JOHNNY CREED STEWART (MD) — NPI 1730157439 — is the standard way to identify this listing.
Does the file indicate JOHNNY CREED STEWART (MD) is practicing under active NPI?
Directory data currently reports JOHNNY CREED STEWART (MD) as active.
What healthcare role does JOHNNY CREED STEWART (MD) hold?
Scheduling teams often label JOHNNY CREED STEWART (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is JOHNNY CREED STEWART (MD) based?
JOHNNY CREED STEWART (MD) is tied to Joplin, Missouri in the data we show; additional addresses may exist on the full record.
Why does JOHNNY CREED STEWART (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DEREK S TOWERY (MD)

Dermatology Physician
2829, South Jackson Avenue, Joplin, Jasper County, Missouri, 64804, United States
NPI: 1346237351

M & T DERMATOLOGY SERVICES LLC

Dermatology Physician
2829, South Jackson Avenue, Joplin, Jasper County, Missouri, 64804, United States
NPI: 1083602015

NATHANIEL M PHELAN (MD)

Dermatology Physician
21088 US Business Highway 71, #7
NPI: 1225327422

DR. AHMED BADAWI (MD, PHD)

Dermatology Physician
PO BOX 3810
NPI: 1417319971
914 Alexis
NPI: 1124763479

PHELAN DERMATOLOGY & AESTHETICS

Dermatology Physician
21088 US Business Highway 71
NPI: 1942881677