DR. JEREMY WAYNE JOHNSON (D.O.) – Family Medicine Physician, NPI 1457521874
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DR. JEREMY WAYNE JOHNSON (D.O.)
732, Lionel Way, Fort Worth, Tarrant County, Texas, 76108, United States
FORT WORTH, TX 761084674
Phone: (817) 683-0354
Type: Mailing
John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044917
Phone: (817) 927-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $437.
Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($296).
Total Amount
$437
General + Research + Ownership
Payments
21
Total payment records
General Amount
$437
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $296 |
| PFIZER INC. | $39 |
| Supernus Pharmaceuticals, Inc. | $26 |
| Lilly USA, LLC | $19 |
| Dexcom, Inc. | $16 |
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: 2008-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081120000130 | I | Family Practice | 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 |
|---|---|---|---|---|
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 31 | 11 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 12 | 12 | $0 |
Insurance plans in this area (ZIP 76108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Family Practice, Obstetrics/Gynecology | TX | |
| Pediatric Medicine, Internal Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | TX | |
| Family Practice | FL | |
| Orthopedic Surgery | TX | |
| Family Practice, Obstetrics/Gynecology | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
Reviews
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