DR. JAY C JOHNSON (M.D.) – Diagnostic Radiology Physician, NPI 1669574497
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 DIAGNOSTIC RADIOLOGY in CO
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Provider Addresses for DR. JAY C JOHNSON (M.D.)
PO BOX 394
GRETNA, NE 680280394
Phone: (877) 406-2916
Type: Mailing
Mercy Regional Medical Center, 1010, Three Springs Boulevard, Durango, La Plata County, Colorado, 81301, United States
DURANGO, CO 813018296
Phone: (970) 259-2525
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.
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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: 2009-02-02
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 |
|---|---|---|---|---|
| I20090202000094 | I | Diagnostic Radiology | CO | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 411 | 411 | $0 |
| 77063 | Screening 3d breast mammography | 393 | 393 | $0 |
| 71045 | X-ray of chest, 1 view | 319 | 278 | $0 |
| 71046 | X-ray of chest, 2 views | 309 | 291 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 290 | 290 | $0 |
Insurance plans in this area (ZIP 68028)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CO | 71250 | CT scan chest | 83 | 80 |
| DIAGNOSTIC RADIOLOGY | CO | 73110 | X-ray of wrist, minimum of 3 views | 58 | 51 |
| DIAGNOSTIC RADIOLOGY | CO | 74177 | CT scan of abdomen and pelvis with contrast | 159 | 155 |
| DIAGNOSTIC RADIOLOGY | CO | 76830 | Ultrasound pelvis through vagina | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | CO | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 31 | 31 |
| DIAGNOSTIC RADIOLOGY | CO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 98 | 93 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | NM | |
| - | NE | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | CO |
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