RAE S. JOHNSON (PA-C) – Physician Assistant, NPI 1669799706
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for RAE S. JOHNSON (PA-C)
1475 MOUNT HOOD AVE
WOODBURN, OR 970719066
Phone: (971) 983-5260
Fax: (971) 983-5326
Type: Mailing
2020 8th Ave Ste 200
West Linn, OR 970684657
Phone: (503) 512-1212
Type: Location
452 WELCH ST
SILVERTON, OR 973811934
Phone: (503) 874-2454
Fax: (503) 779-2290
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-07-19 • Largest payer in this snapshot: STEELHEAD SURGICAL INC ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| STEELHEAD SURGICAL 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: 2012-06-14
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 |
|---|---|---|---|---|
| I20120614000708 | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 16 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 97071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Family Practice | OR | |
| Family Practice | WA | |
| Nurse Practitioner | TX | |
| Family Practice | OR | |
| - | OR | |
| P S Y C H I A T R Y | MA | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| Family Practice | OR |
Reviews
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