JOHNNY SHANE ROSS (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1104935030
Physical Medicine & Rehabilitation Physician
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NPPES metrics only — not quality of care.
863 PHYSICAL MEDICINE AND REHABILITATION in TX
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Provider Addresses for JOHNNY SHANE ROSS (M.D.)
Lakeway Urgent Care, Medical Park Drive, Lenoir City, Loudon County, East Tennessee, Tennessee, 37771, United States
LAKEWAY, TX 787344200
Phone: (512) 263-4511
Fax: (512) 263-4506
Type: Location
2101, Headwater Lane, Austin, Travis County, Texas, 78746, United States
AUSTIN, TX 787467858
Phone: (580) 585-0180
Type: Mailing
2401 S 31ST ST BLDG 35
TEMPLE, TX 765084200
Phone: (254) 724-2111
Fax: (512) 263-4506
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone:
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.
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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: 2014-10-07
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 |
|---|---|---|---|---|
| I20141007002261 | I | Physical Medicine And Rehabilitation | TX | 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 |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 6,373 | 198 | $0 |
| J3480 | Injection, potassium chloride, per 2 meq | 2,136 | 170 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 1,918 | 166 | $0 |
| 97016 | Application of blood vessel compression device | 1,667 | 197 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 1,647 | 197 | $0 |
Insurance plans in this area (ZIP 78734)
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