DR. RILEY JOHNSON (DO) – Interventional Pain Medicine Physician, NPI 1366939779

DR. RILEY JOHNSON (DO) is a healthcare provider. based in Fort worth, Texas. specializing in PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. S5940 (TX). The NPI Number for DR. RILEY JOHNSON (DO) is 1366939779

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. RILEY JOHNSON (DO)
NPI
1366939779
Phone
(817) 294-0934
Address
209 SAINT LOUIS AVE STE 100
Enumeration Date
20 April 2018
Last Update Date
16 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8172940934
Graduation Year
2018 (8 years ago)
PAC ID
5294085361
Professional Enrollment ID
I20230707001737
Address ID
TX761041279FO209XXAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

755 PAIN MANAGEMENT in TX

Provider Addresses for DR. RILEY JOHNSON (DO)

  • 209 SAINT LOUIS AVE STE 100

    FORT WORTH, TX 761041279

    Phone: (817) 294-0934

    Fax: (817) 294-1488

    Type: Location

  • Medical City Weatherford, 713, East Anderson Street, Weatherford, Parker County, Texas, 76086, United States

    WEATHERFORD, TX 760865705

    Phone: (512) 296-5927

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $5,913.

Total Amount is formed as General ($5,913) + Research ($0) + Ownership ($0) = $5,913.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($4,851).

Total Amount

$5,913

General + Research + Ownership

Payments

67

Total payment records

General Amount

$5,913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-07-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230707001737IPain ManagementTXTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3029$0
99214Established patient office or other outpatient visit, 30-39 minutes2924$0
99213Established patient office or other outpatient visit, 20-29 minutes1713$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for DR. RILEY JOHNSON (DO)?
DR. RILEY JOHNSON (DO) — NPI 1366939779 — is the standard way to identify this listing.
Can I rely on DR. RILEY JOHNSON (DO) being an active provider?
As of the registry snapshot, DR. RILEY JOHNSON (DO) is marked active.
What taxonomy line describes DR. RILEY JOHNSON (DO)?
For research purposes, treat DR. RILEY JOHNSON (DO) as Interventional Pain Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. RILEY JOHNSON (DO) list a practice location?
Patients near Fort Worth, Texas may find DR. RILEY JOHNSON (DO) in results; validate coverage separately.
Why does DR. RILEY JOHNSON (DO) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. ASHLEY M CLASSEN (D.O.)

Interventional Pain Medicine Physician
Fort Worth Window and Door Solutions, 1401, Henderson Street, Downtown Fort Worth, Fort Worth, Tarrant County, Texas, 76102, United States
NPI: 1629071733

Texas Pain Institute

Interventional Pain Medicine Physician
Lipscomb Street, Fort Worth, Tarrant County, Texas, 76110, United States
NPI: 1053315382

XIAO-EN FANG (M.D.)

Pain Medicine (Anesthesiology) Physician
PO BOX 731475
NPI: 1770587016

DR. STEVEN LEE SIMMONS (D.O.)

Interventional Pain Medicine Physician
7148, Trail Lake Drive, Fort Worth, Tarrant County, Texas, 76133, United States
NPI: 1104815505

DR. SCOTT A. BERLIN (MD)

Interventional Pain Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1952388753

ANDREW J. III COTTINGHAM (MD)

Interventional Pain Medicine Physician
800 W Arbrook Blvd Ste 120
NPI: 1003893819

DR. MICHAEL SCOTT PHILLIPS (M.D.)

Interventional Pain Medicine Physician
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1306823927