DUANE P JOHNSON (DO) – Family Medicine Physician, NPI 1750392676
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $175 |
| AstraZeneca Pharmaceuticals LP | $131 |
| Corium, LLC | $70 |
| Novo Nordisk Inc | $67 |
| Phathom Pharmaceuticals, Inc. | $51 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080311000378 | I | Family Practice | IN | TBD |
| I20090818000427 | I | Family Practice | 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 | 46 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 22 | $0 |
Insurance plans in this area (ZIP 43526)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | TN |
Reviews
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