DR. CLIFFORD Q JOHNSON,JR (M.D.) – Otolaryngology Physician, NPI 1164424438

Otolaryngology Physician

DR. CLIFFORD Q JOHNSON,JR (M.D.) is a healthcare provider. based in Knoxville, Tennessee. specializing in Otolaryngology Physician. They hold the professional credentials M.D.. They hold a License No. 7979 (TN). The NPI Number for DR. CLIFFORD Q JOHNSON,JR (M.D.) is 1164424438

Main info

Male

54 Years Of Experience

Accepts Medicare Assignment

Name

DR. CLIFFORD Q JOHNSON,JR (M.D.)

NPI

1164424438

Phone

(865) 693-6065

Address

9430 PARK WEST BLVD

Enumeration Date

1 June 2005

Last Update Date

5 November 2007

Doctor Profile

Medical School Name

UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE

Secondary Phone

8656936065

Graduation Year

1972 (54 years ago)

PAC ID

0840103842

Group Practice PAC ID

5092763532

Professional Enrollment ID

I20101116000469

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CLIFFORD Q JOHNSON,JR (M.D.)

Park West Boulevard, Knoxville, Knox County, Tennessee, 37923, United States
STE 330
KNOXVILLE, TN 379234203
Phone: (865) 693-6065
Fax: (865) 531-6325
Type: Location
PO BOX 31547
KNOXVILLE, TN 379301547
Phone: (865) 693-6065
Fax: (865) 531-6325
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-16

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

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
I20101116000469	I	Otolaryngology	TN	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.

Verify on CMS Revalidation Lookup Tool

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37923)

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Provider's Procedures

DR. CLIFFORD Q JOHNSON,JR (M.D.) performs procedures in Otolaryngology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OTOLARYNGOLOGY	TN	92540	Observation, testing, and recording of abnormal eye movement	16	16
OTOLARYNGOLOGY	TN	92567	Eardrum testing using ear probe	55	53

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: 5092763532View full group profile

Name	Specialty	State
RICARDA HOPPER (PA-C)	Physician Assistant	TN
DR. NICHOLAS JOHN PANELLA (M.D.)	O T O L A R Y N G O L O G Y	TN
MRS. JALENE MARIE NADEAU (M.A., CCC-A)	-	TN
MRS. MICHELLE LYNN DEARMOND (AUD)	Qualified Audiologist	TN
DENNELL ELIZABETH BENSON	Qualified Audiologist	MN
SARAH BEAM POST (AUD)	Qualified Audiologist	TN
JAMESON KYLE MATTINGLY (M.D.)	O T O L A R Y N G O L O G Y	KY
NICOLE MARIE BAHAMONDES GORE (AU.D)	Qualified Audiologist	TN
DR. ANDREA PLOTKOWSKI (AU.D.)	-	TN
MICHAEL TAITE SEALS (M.D.)	-	TN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CLIFFORD Q JOHNSON,JR (M.D.)?

DR. CLIFFORD Q JOHNSON,JR (M.D.) — NPI 1164424438 — is the standard way to identify this listing.

Can I rely on DR. CLIFFORD Q JOHNSON,JR (M.D.) being an active provider?

As of the registry snapshot, DR. CLIFFORD Q JOHNSON,JR (M.D.) is marked active.

What healthcare role does DR. CLIFFORD Q JOHNSON,JR (M.D.) hold?

Scheduling teams often label DR. CLIFFORD Q JOHNSON,JR (M.D.) under Otolaryngology Physician. Clinical services aligned with this taxonomy classification.

What area does DR. CLIFFORD Q JOHNSON,JR (M.D.) serve?

DR. CLIFFORD Q JOHNSON,JR (M.D.)'s listing highlights Knoxville, Tennessee; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.