ERIC J JOHANNESEN (D.O.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1821281833

ERIC J JOHANNESEN (D.O.) is a healthcare provider. based in Columbia, Missouri. specializing in PATHOLOGY. They hold the professional credentials D.O.. They hold a License No. 2012020845 (MO). The NPI Number for ERIC J JOHANNESEN (D.O.) is 1821281833

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ERIC J JOHANNESEN (D.O.)
NPI
1821281833
Phone
(573) 882-1201
Address
ONE HOSPITAL DRIVE
Enumeration Date
22 August 2007
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5738824141
Graduation Year
2007 (19 years ago)
PAC ID
2668633009
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20121004000772
Address ID
MO652120001CO1XXXXDRXX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

406 PATHOLOGY in MO

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Provider Addresses for ERIC J JOHANNESEN (D.O.)

  • Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652120001

    Phone: (573) 882-1201

    Fax: (573) 884-4612

    Type: Location

  • 1 HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 882-1201

    Fax: (573) 884-4612

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 882-3300

    Fax: (573) 884-0943

    Type: Mailing

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: 2012-10-04

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
I20121004000772IPathologyMOTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity321110$0
88307Pathology examination of tissue using a microscope, moderately high complexity18785$0
88341Special stained specimen slides to examine tissue, each additional procedure10728$0
88331Pathology examination of specimen during surgery, first tissue block9242$0
88342Special stained specimen slides to examine tissue, initial procedure3130$0
View full utilization report →

Insurance plans in this area (ZIP 65212)

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Provider's Procedures

ERIC J JOHANNESEN (D.O.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMO88312Special stained specimen slides to identify organisms including interpretation and report2119
PATHOLOGYMO88342Tissue or cell analysis by immunologic technique3532

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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Is ERIC J JOHANNESEN (D.O.) listed with a National Provider Identifier?
Yes — ERIC J JOHANNESEN (D.O.) has NPI 1821281833 on file in the registry.
Is ERIC J JOHANNESEN (D.O.) shown as active in public data?
Registry records indicate ERIC J JOHANNESEN (D.O.) maintains an active NPI.
What kind of doctor is ERIC J JOHANNESEN (D.O.)?
ERIC J JOHANNESEN (D.O.) is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ERIC J JOHANNESEN (D.O.)?
Directory geography for ERIC J JOHANNESEN (D.O.) centers on Columbia, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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