MR. BEN DOUGLAS JOHNSON (PA-C) – Medical Physician Assistant, NPI 1720152465

MR. BEN DOUGLAS JOHNSON (PA-C) is a healthcare provider. based in Phoenix, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00825 (OR). The NPI Number for MR. BEN DOUGLAS JOHNSON (PA-C) is 1720152465

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. BEN DOUGLAS JOHNSON (PA-C)
NPI
1720152465
Phone
(541) 778-4517
Address
205 N PHOENIX RD STE 430
Enumeration Date
17 November 2006
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417359420
Graduation Year
2002 (24 years ago)
PAC ID
2567358856
Group Practice PAC ID
6800126145
Professional Enrollment ID
I20040224000799
Address ID
OR974774113SP1435XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MR. BEN DOUGLAS JOHNSON (PA-C)

  • 205 N PHOENIX RD STE 430

    PHOENIX, OR 975359108

    Phone: (541) 778-4517

    Type: Mailing

  • 224, High Street, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974013238

    Phone: (541) 500-2500

    Type: Mailing

  • BestMed Primary Care, 1445, Gateway Boulevard, Cottage Grove, Lane County, Oregon, 97424, United States

    COTTAGE GROVE, OR 974241224

    Phone: (541) 640-7625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $919.

Total Amount is formed as General ($919) + Research ($0) + Ownership ($0) = $919.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($391).

Total Amount

$919

General + Research + Ownership

Payments

19

Total payment records

General Amount

$919

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2004-02-24

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
I20040224000799IPhysician AssistantORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7664$0
81002Urinalysis, manual test1816$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
96372Injection of drug or substance under skin or into muscle1313$0
View full utilization report →

Insurance plans in this area (ZIP 97535)

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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: 6800126145View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
O B S T E T R I C S/ G Y N E C O L O G YNV
-OR
Physician AssistantOR
Family PracticeOR
Clinical Social WorkerCA
Family PracticeOR
P S Y C H I A T R YOR
Physician AssistantID

Reviews

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Frequently asked questions

What federal number belongs to MR. BEN DOUGLAS JOHNSON (PA-C)?
The federal identifier for MR. BEN DOUGLAS JOHNSON (PA-C) is NPI 1720152465.
Does this profile mean MR. BEN DOUGLAS JOHNSON (PA-C) is currently active?
Yes — MR. BEN DOUGLAS JOHNSON (PA-C) appears active in the national provider directory.
What kind of provider is MR. BEN DOUGLAS JOHNSON (PA-C)?
The page reflects Medical Physician Assistant for MR. BEN DOUGLAS JOHNSON (PA-C). Clinical services aligned with this taxonomy classification.
Where is MR. BEN DOUGLAS JOHNSON (PA-C)'s primary listing?
We display Phoenix, Oregon because that is what the record indicates for MR. BEN DOUGLAS JOHNSON (PA-C).
Is MR. BEN DOUGLAS JOHNSON (PA-C) a real provider?
This page reflects official NPPES data for NPI 1720152465. Always confirm identity and privileges with the practice and licensing boards.

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