TAMARA R JOHNSON (MD) – Family Medicine Physician, NPI 1992739890

TAMARA R JOHNSON (MD) is a healthcare provider. based in North platte, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 17008 (NE). The NPI Number for TAMARA R JOHNSON (MD) is 1992739890

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA R JOHNSON (MD)
NPI
1992739890
Phone
(308) 534-6029
Address
PO BOX 1209
Enumeration Date
10 July 2006
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085346029
Graduation Year
2008 (18 years ago)
PAC ID
7618905704
Group Practice PAC ID
0143280651
Professional Enrollment ID
I20100917000525
Address ID
NE691015436NO110XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

954 FAMILY PRACTICE in NE

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Provider Addresses for TAMARA R JOHNSON (MD)

  • North Platte Post Office, East 3rd Street, North Platte, Lincoln County, Nebraska, 69103, United States

    110 N BAILEY

    NORTH PLATTE, NE 69103

    Phone: (308) 534-6029

    Fax: (308) 534-6961

    Type: Mailing

  • 110, North Bailey Avenue, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 69103

    Phone: (308) 534-6029

    Fax: (308) 534-6961

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($71).

Total Amount

$96

General + Research + Ownership

Payments

4

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-06-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100917000525IFamily PracticeNETBD
I20120601000305IFamily PracticeCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes328100$0
96372Injection of drug or substance under skin or into muscle18918$0
99214Established patient office or other outpatient visit, 30-39 minutes7522$0
Q3014Telehealth originating site facility fee3428$0
View full utilization report →

Insurance plans in this area (ZIP 69103)

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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: 0143280651View full group profile
NameSpecialtyState
Mental Health CounselorNE
Clinical Social WorkerNE
Mental Health CounselorNE
Mental Health CounselorNE
Clinical Social WorkerNE
-NE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

Is there an official ID for TAMARA R JOHNSON (MD) in U.S. healthcare records?
The official identifier for TAMARA R JOHNSON (MD) is NPI 1992739890.
Is there an active status for TAMARA R JOHNSON (MD)?
For scheduling context, TAMARA R JOHNSON (MD) is shown as active in the registry.
What clinical focus is listed for TAMARA R JOHNSON (MD)?
At a glance, TAMARA R JOHNSON (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TAMARA R JOHNSON (MD)?
Directory geography for TAMARA R JOHNSON (MD) centers on North Platte, Nebraska.
When was this NPI issued?
Enumeration for TAMARA R JOHNSON (MD) is noted as July 10, 2006 where the registry provides it.

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