GREGORY D JOHNSEN (MD) – Interventional Cardiology Physician, NPI 1710957105

GREGORY D JOHNSEN (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 16972 (OK). The NPI Number for GREGORY D JOHNSEN (MD) is 1710957105

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY D JOHNSEN (MD)
NPI
1710957105
Phone
(918) 592-0999
Address
9228 S MINGO RD
Enumeration Date
26 January 2006
Last Update Date
4 March 2014

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9185793627
Graduation Year
1988 (38 years ago)
PAC ID
8325941347
Group Practice PAC ID
4284809278
Professional Enrollment ID
I20080716000389
Address ID
OK740173179CL1501XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

305 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OK

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Provider Addresses for GREGORY D JOHNSEN (MD)

  • 9228, South Mingo Road, Woodland Glens, Tulsa, Tulsa County, Oklahoma, 74133, United States

    SUITE 200

    TULSA, OK 741335718

    Phone: (918) 592-0999

    Fax: (918) 878-2499

    Type: Mailing

  • South Utica Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74114, United States

    SUITE 300

    TULSA, OK 741044243

    Phone: (918) 592-0999

    Fax: (918) 592-1021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Boston Scientific Corporation ($247).

Total Amount

$444

General + Research + Ownership

Payments

11

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

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: 2008-07-16

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
I20080716000389ICardiovascular Disease (Cardiology)OKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes458415$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report320317$0
99204New patient office or other outpatient visit, 45-59 minutes102102$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9664$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes8179$0
View full utilization report →

Insurance plans in this area (ZIP 74133)

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Provider's Procedures

GREGORY D JOHNSEN (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYOK93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart119115

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: 4284809278View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyMN
Internal MedicineOK
Nurse PractitionerOK
O B S T E T R I C S/ G Y N E C O L O G YOK
Family PracticeOK
Certified Clinical Nurse Specialist (Cns)OK
Cardiovascular Disease (Cardiology)OK
Physician AssistantOK
Physician AssistantOK
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineOK

Reviews

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Frequently asked questions

Is there an official ID for GREGORY D JOHNSEN (MD) in U.S. healthcare records?
The official identifier for GREGORY D JOHNSEN (MD) is NPI 1710957105.
Is there an active status for GREGORY D JOHNSEN (MD)?
For scheduling context, GREGORY D JOHNSEN (MD) is shown as active in the registry.
What expertise is attributed to GREGORY D JOHNSEN (MD)?
GREGORY D JOHNSEN (MD)'s specialty line reads Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with GREGORY D JOHNSEN (MD)?
Directory geography for GREGORY D JOHNSEN (MD) centers on Tulsa, Oklahoma.
When was this NPI issued?
Enumeration for GREGORY D JOHNSEN (MD) is noted as January 26, 2006 where the registry provides it.

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