RON MICHAEL JOHNSON (MD) – Plastic and Reconstructive Surgery Physician, NPI 1093771081
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH
Provider Addresses for RON MICHAEL JOHNSON (MD)
30 E Apple St
Suite 6257
Dayton, OH 454092939
Phone: (937) 208-3999
Fax: (937) 208-3682
Type: Location
580, Lincoln Park Boulevard, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States
SUITE 255
KETTERING, OH 454293474
Phone: (937) 949-8457
Fax: (937) 949-8695
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,471.
Total Amount is formed as General ($1,471) + Research ($0) + Ownership ($0) = $1,471.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Integra LifeSciences Corporation ($925).
Total Amount
$1,471
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,471
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $925 |
| Kerecis Limited | $397 |
| Mentor Worldwide LLC | $101 |
| Sanara MedTech Inc. | $27 |
| KCI USA, Inc. | $22 |
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: 2005-12-06
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 |
|---|---|---|---|---|
| I20051206000219 | I | Plastic And Reconstructive Surgery | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 68 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 49 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 48 | 48 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | 38 | $0 |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 31 | 27 | $0 |
Insurance plans in this area (ZIP 45409)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | OH | 11042 | Removal of skin and tissue first 20 sq cm or less | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| - | ME | |
| - | OH | |
| - | OH |
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