DUANE P JOHNSON (DO) – Family Medicine Physician, NPI 1750392676

DUANE P JOHNSON (DO) is a healthcare provider. based in Hicksville, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 34.009629 (OH). The NPI Number for DUANE P JOHNSON (DO) is 1750392676

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DUANE P JOHNSON (DO)
NPI
1750392676
Phone
(419) 542-5484
Address
208 COLUMBUS ST
Enumeration Date
10 August 2006
Last Update Date
1 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192982321
Graduation Year
2006 (20 years ago)
PAC ID
7517042880
Group Practice PAC ID
5799175741
Professional Enrollment ID
I20090818000427
Address ID
OH435179600ED328XXSTXX400

Contacts

Secure Messaging
duane.johnson@lutheranhealthnetwork.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

6,723 FAMILY PRACTICE in FL

Provider Addresses for DUANE P JOHNSON (DO)

  • Community Memorial Hospital, 208, Columbus Street, Hicksville, Defiance County, Ohio, 43526, United States

    HICKSVILLE, OH 435261250

    Phone: (419) 542-5484

    Fax: (419) 542-6685

    Type: Mailing

  • 367 S. GULPH ROAD

    ATT: IPM CREDENTIALING

    KING OF PRUSSIA, PA 19406

    Phone: (610) 382-4943

    Fax: (610) 878-3965

    Type: Mailing

  • 1561 LAKEFRONT DRIVE

    UNITS 200-202

    SARASOTA, FL 342401637

    Phone: (941) 867-2424

    Fax: (941) 260-2444

    Type: Location

  • 1561 Lakefront Drive

    Units 200-202

    Sarasota, FL 342401637

    Phone: (941) 867-2424

    Fax: (941) 260-2444

    Type: Location

  • 208 Columbus St

    Hicksville, OH 435261250

    Phone: (419) 542-5484

    Fax: (419) 542-6685

    Type: Location

  • 12404 LIMA CROSSING DR

    FORT WAYNE, IN 468180202

    Phone: (260) 478-4201

    Fax: (260) 458-3248

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $667.

Total Amount is formed as General ($667) + Research ($0) + Ownership ($0) = $667.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($175).

Total Amount

$667

General + Research + Ownership

Payments

46

Total payment records

General Amount

$667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2009-08-18

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
I20080311000378IFamily PracticeINTBD
I20090818000427IFamily PracticeOHTBD

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 minutes4633$0
99214Established patient office or other outpatient visit, 30-39 minutes2822$0
View full utilization report →

Insurance plans in this area (ZIP 43526)

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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: 5799175741View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerNJ
Nurse PractitionerMI
Nurse PractitionerKY
Clinical Social WorkerIN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do I look up DUANE P JOHNSON (DO) by NPI?
Use NPI 1750392676 when you need to reference DUANE P JOHNSON (DO) in forms, claims, or directories.
Is DUANE P JOHNSON (DO) active in the national directory?
DUANE P JOHNSON (DO)'s public NPI profile is in an active state.
Can you summarize DUANE P JOHNSON (DO)'s specialty in plain language?
Clinically, the directory lists DUANE P JOHNSON (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DUANE P JOHNSON (DO)'s primary listing?
We display Hicksville, Ohio because that is what the record indicates for DUANE P JOHNSON (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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