RANDY M JOHNSON (MD) – Emergency Medicine Physician, NPI 1700813490

RANDY M JOHNSON (MD) is a healthcare provider. based in Canton, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35-087639 (OH). The NPI Number for RANDY M JOHNSON (MD) is 1700813490

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RANDY M JOHNSON (MD)
NPI
1700813490
Phone
(330) 456-2695
Address
2600 Sixth St SW
Enumeration Date
27 June 2006
Last Update Date
1 July 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
3304562695
Graduation Year
2003 (23 years ago)
PAC ID
3375556780
Group Practice PAC ID
2961307319
Professional Enrollment ID
I20060801000011
Address ID
OH447101702CA2600XSWXX400

Contacts

Secure Messaging
Randy.Johnson@direct.aultman.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for RANDY M JOHNSON (MD)

  • 2600 Sixth St SW

    Canton, OH 447101702

    Phone: (330) 456-2695

    Fax: (330) 588-8605

    Type: Location

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (330) 456-2695

    Fax: (330) 588-8605

    Type: Mailing

  • Summa Barberton Hospital, 155, 5th Street Northeast, Austin Estates, New Portage, Barberton, Summit County, Ohio, 44203, United States

    BARBERTON, OH 442033332

    Phone: (330) 493-4443

    Fax: (330) 493-8677

    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.

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: 2006-08-01

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
I20060801000011IEmergency MedicineOHTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only180168$0
99285Emergency department visit with high level of medical decision making177174$0
99284Emergency department visit with moderate level of medical decision making6463$0
99291Critical care, first 30-74 minutes4242$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 44710)

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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: 2961307319View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Physician AssistantOH
Emergency MedicineOH

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Frequently asked questions

Can I cross-check RANDY M JOHNSON (MD) using NPI 1700813490?
NPI 1700813490 belongs to RANDY M JOHNSON (MD); compare other details if you need extra assurance.
Is there an active status for RANDY M JOHNSON (MD)?
For scheduling context, RANDY M JOHNSON (MD) is shown as active in the registry.
What area of care is associated with RANDY M JOHNSON (MD)?
RANDY M JOHNSON (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is RANDY M JOHNSON (MD) registered?
Use Canton, Ohio as the headline location for RANDY M JOHNSON (MD) here.
When was this NPI issued?
Enumeration for RANDY M JOHNSON (MD) is noted as June 27, 2006 where the registry provides it.