MARK JOHNSON (D.O.) – Orthopaedic Trauma Physician, NPI 1205298122
Orthopaedic Trauma Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
143 CRITICAL CARE (INTENSIVISTS) in OK
Provider Addresses for MARK JOHNSON (D.O.)
6600 S YALE AVE STE 1400
TULSA, OK 741363331
Phone: (888) 247-0125
Fax: (918) 502-8210
Type: Mailing
6161 S YALE AVE
TULSA, OK 741361902
Phone: (918) 494-1805
Fax: (918) 494-4573
Type: Location
South Jackson Avenue, West Tulsa, Tulsa, Tulsa County, Oklahoma, 74107, United States
TULSA, OK 741279057
Phone:
Type: Mailing
5110 S YALE AVE STE 525
TULSA, OK 741357485
Phone: (918) 392-4547
Fax: (918) 392-4555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $2,889.
Total Amount is formed as General ($2,889) + Research ($0) + Ownership ($0) = $2,889.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Stryker Corporation ($1,692).
Total Amount
$2,889
General + Research + Ownership
Payments
67
Total payment records
General Amount
$2,889
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,692 |
| Smith+Nephew, Inc. | $240 |
| PolyNovo North America LLC | $234 |
| Conetic Solutions, Inc. | $197 |
| DePuy Synthes Sales Inc. | $171 |
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: 2021-06-30
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 |
|---|---|---|---|---|
| I20210630000851 | I | Orthopedic Surgery | OK | 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 |
|---|---|---|---|---|
| 73552 | X-ray of thigh bone, minimum 2 views | 54 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 25 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 26 | 13 | $0 |
| 72190 | X-ray of pelvis, minimum of 3 views | 25 | 11 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 17 | $0 |
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Orthopedic Surgery, Critical Care (Intensivists) | OK | |
| Orthopedic Surgery | OK | |
| Orthopedic Surgery | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| General Surgery | OK | |
| Physician Assistant | OK | |
| General Surgery | OK | |
| General Surgery | OK |
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