MR. RYAN JOHNSON (PA) – Physician Assistant, NPI 1063689172

MR. RYAN JOHNSON (PA) is a healthcare provider. based in Double oak, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1078006 (FL). The NPI Number for MR. RYAN JOHNSON (PA) is 1063689172

Main info

Male
19 Years Of Experience
Name
MR. RYAN JOHNSON (PA)
NPI
1063689172
Phone
(972) 966-1980
Address
8501 Fm 407
Enumeration Date
8 May 2008
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9407847301
Graduation Year
2007 (19 years ago)
PAC ID
5698820520
Group Practice PAC ID
6800237207
Professional Enrollment ID
I20130820000670
Address ID
TX762265113AR391XXSXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. RYAN JOHNSON (PA)

  • 8501 Fm 407

    Double Oak, TX 750773031

    Phone: (972) 966-1980

    Fax: (972) 691-4937

    Type: Location

  • 77 W Underwood St

    Ste 200

    Orlando, FL 328061122

    Phone: (407) 649-6884

    Fax: (407) 245-7059

    Type: Location

  • 77, Underwood Street, Orlando, Orange County, Florida, 32806, United States

    STE 200

    ORLANDO, FL 328061122

    Phone: (407) 649-6884

    Fax: (407) 245-7059

    Type: Mailing

  • 8501 FM 407

    DOUBLE OAK, TX 750773031

    Phone: (972) 966-1980

    Fax: (972) 691-4937

    Type: Mailing

  • 391 HIGHWAY 377 S

    ARGYLE, TX 762265113

    Phone: (940) 784-7301

    Fax: (469) 519-1461

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-07

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: 2013-08-20

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
I20130820000670IPhysician AssistantTXTBD

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
J1030Injection, methylprednisolone acetate, 40 mg3011$0
27447Replacement of knee joint, both sides of knee1616$0
99212Established patient office or other outpatient visit, 10-19 minutes1413$0
20610Aspiration and/or injection of fluid from large joint1312$0
View full utilization report →

Insurance plans in this area (ZIP 75077)

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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: 6800237207View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does MR. RYAN JOHNSON (PA) have a public NPI I can cite?
Public records show MR. RYAN JOHNSON (PA) under NPI 1063689172.
Should I treat MR. RYAN JOHNSON (PA) as an active provider?
Patients and plans typically see MR. RYAN JOHNSON (PA) as active in the national extract.
How should patients interpret MR. RYAN JOHNSON (PA)'s specialty?
The extract shows Physician Assistant for MR. RYAN JOHNSON (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. RYAN JOHNSON (PA)?
MR. RYAN JOHNSON (PA) is associated with Double Oak, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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