DR. JOHNNIE M. JR. WOODSON (M.D.) – Dermatology Physician, NPI 1780727750
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
91 DERMATOLOGY in NV
Provider Addresses for DR. JOHNNIE M. JR. WOODSON (M.D.)
229 N PECOS RD STE 100
HENDERSON, NV 890747364
Phone: (702) 367-6370
Fax: (702) 307-5480
Type: Mailing
297 W Artesia St Ste A
Pomona, CA 917681808
Phone: (909) 623-1503
Fax: (909) 623-8061
Type: Location
229 N Pecos Rd Ste 100
Henderson, NV 890747364
Phone: (702) 367-6370
Fax: (702) 307-5480
Type: Location
840 TOWNE CENTER DR
POMONA, CA 917675900
Phone: (909) 398-1550
Fax: (909) 398-1573
Type: Mailing
9190 HAVEN AVE STE 210
RANCHO CUCAMONGA, CA 917305431
Phone: (909) 466-7779
Fax: (909) 466-9680
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,733.
Total Amount is formed as General ($1,733) + Research ($0) + Ownership ($0) = $1,733.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: UCB, Inc. ($728).
Total Amount
$1,733
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $728 |
| ABBVIE INC. | $123 |
| Ipsen Biopharmaceuticals, Inc | $114 |
| GENZYME CORPORATION | $109 |
| Novartis Pharmaceuticals Corporation | $63 |
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: 2012-11-12
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 |
|---|---|---|---|---|
| I20121112000055 | I | Dermatology | CA | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 3,401 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 47 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 40 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 96574 | Application of light with debridement to destroy precancer skin growth | 18 | 12 | $0 |
Insurance plans in this area (ZIP 89074)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | NV | 11101 | Biopsy of each additional growth of skin and/or tissue | 18 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| - | CA | |
| Cardiac Surgery, Thoracic Surgery | CA | |
| Internal Medicine, Endocrinology | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine | CA | |
| Pulmonary Disease, Internal Medicine | NJ | |
| Internal Medicine, Endocrinology | CA |
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