BROLIN JOHNSON (PA) – Medical Physician Assistant, NPI 1265999338
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for BROLIN JOHNSON (PA)
1793, 13th Street Southeast, Salem, Marion County, Oregon, 97302, United States
SALEM, OR 973022541
Phone: (503) 362-8385
Fax: (503) 362-8435
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 128 Open Payments records for all available years, with a total value of $2,629.
Total Amount is formed as General ($2,629) + Research ($0) + Ownership ($0) = $2,629.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($950).
Total Amount
$2,629
General + Research + Ownership
Payments
128
Total payment records
General Amount
$2,629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $950 |
| Novartis Pharmaceuticals Corporation | $552 |
| Janssen Biotech, Inc. | $503 |
| Amgen Inc. | $190 |
| E.R. Squibb & Sons, L.L.C. | $73 |
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: 2019-09-18
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 |
|---|---|---|---|---|
| I20190918000354 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 6,800 | 18 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 542 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 304 | 238 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 212 | 163 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 127 | 104 | $0 |
Insurance plans in this area (ZIP 97302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Interventional Pain Management, Pain Management | WA | |
| Physical Therapist In Private Practice | OR | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Pain Management, Anesthesiology | WA | |
| Physician Assistant | OR |
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