LYNDON G JOHANSEN (DPM) – Podiatrist, NPI 1306820402
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
213 PODIATRY in OR
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Provider Addresses for LYNDON G JOHANSEN (DPM)
12658, Southeast Stark Street, Mill Park, Portland, Metro, Multnomah County, Oregon, 97233, United States
PORTLAND, OR 972331058
Phone: (503) 256-4018
Fax: (503) 256-6298
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 8 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Stryker Corporation ($59).
Total Amount
$220
General + Research + Ownership
Payments
8
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $59 |
| MedShape, Inc. | $58 |
| Nevro Corp. | $38 |
| Arteriocyte Medical Systems, Inc. | $28 |
| TREACE MEDICAL CONCEPTS, INC. | $22 |
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: 2010-03-04
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 |
|---|---|---|---|---|
| I20100304000840 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 245 | 88 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 93 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 51 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 76 | 32 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 59 | 36 | $0 |
Insurance plans in this area (ZIP 97233)
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Provider's Procedures
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