DR. GAIL JOHNSON (M.D.) – Internal Medicine Physician, NPI 1013904325

DR. GAIL JOHNSON (M.D.) is a healthcare provider. based in New hartford, New York. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 194354 (NY). The NPI Number for DR. GAIL JOHNSON (M.D.) is 1013904325

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAIL JOHNSON (M.D.)
NPI
1013904325
Phone
(315) 798-1700
Address
1729 BURRSTONE RD
Enumeration Date
3 October 2005
Last Update Date
26 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8282131740
Graduation Year
1991 (35 years ago)
PAC ID
4688579931
Group Practice PAC ID
9537468574
Professional Enrollment ID
I20200309001539
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GAIL JOHNSON (M.D.)

  • 1729, Burrstone Road, Town of New Hartford, Oneida County, New York, 13413, United States

    NEW HARTFORD, NY 134131001

    Phone: (315) 798-1700

    Fax: (315) 798-1707

    Mailing address matches the actual address.

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: 2020-03-09

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
I20200309001539IInternal MedicineNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 13413)

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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: 9537468574View full group profile
NameSpecialtyState
Family Practice, Hospice/Palliative CareNC
-NC
-FL
Physician AssistantNC
Cardiovascular Disease (Cardiology), Internal MedicineNC
Certified Registered Nurse Anesthetist (Crna)NC
-NC
Nurse PractitionerNC
Certified Registered Nurse Anesthetist (Crna)TN
Neurology, PsychiatryNC

Reviews

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Frequently asked questions

Can I cross-check DR. GAIL JOHNSON (M.D.) using NPI 1013904325?
NPI 1013904325 belongs to DR. GAIL JOHNSON (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. GAIL JOHNSON (M.D.)?
For scheduling context, DR. GAIL JOHNSON (M.D.) is shown as active in the registry.
What kind of doctor is DR. GAIL JOHNSON (M.D.)?
DR. GAIL JOHNSON (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GAIL JOHNSON (M.D.)?
Directory geography for DR. GAIL JOHNSON (M.D.) centers on New Hartford, New York.
When was this NPI issued?
Enumeration for DR. GAIL JOHNSON (M.D.) is noted as October 3, 2005 where the registry provides it.

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