LESLIE JOHNSON (PA) – Physician Assistant, NPI 1790115228
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for LESLIE JOHNSON (PA)
4750 HEMPSTEAD STATION DR
KETTERING, OH 454295164
Phone:
Type: Mailing
730 W MARKET ST
LIMA, OH 458014602
Phone: (419) 226-9050
Type: Location
830 W MAIN ST
COLDWATER, OH 458281626
Phone: (419) 678-5271
Type: Mailing
950 S MAIN ST STE 10
CELINA, OH 458222475
Phone: (419) 586-6899
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Gilead Sciences, Inc. ($109).
Total Amount
$196
General + Research + Ownership
Payments
5
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $109 |
| Sumitomo Pharma America, Inc. | $69 |
| Astellas Pharma US Inc | $18 |
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: 2013-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (896 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20131210001984 | I | Physician Assistant | OH | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 74 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 79 | 58 | $0 |
| 81003 | Automated urinalysis test | 57 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | NC | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| P O D I A T R Y | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Physician Assistant | OH |
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