DR. KENNETH B JOHNSON (MD) – Interventional Cardiology Physician, NPI 1588628739
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
780 INTERVENTIONAL CARDIOLOGY in TX
Provider Addresses for DR. KENNETH B JOHNSON (MD)
3409 WORTH ST STE 500
DALLAS, TX 752462057
Phone: (214) 841-2000
Fax: (214) 841-2015
Type: Location
9330 POPPY DR STE 302
DALLAS, TX 752184640
Phone: (972) 276-8937
Fax: (844) 292-1462
Type: Mailing
9330 LBJ FWY STE 800
DALLAS, TX 752434310
Phone: (972) 792-5700
Fax: (214) 506-1107
Type: Mailing
16980, Dallas Parkway, Dallas, Dallas County, Texas, 75001:75287, United States
SUITE 200
DALLAS, TX 752481908
Phone: (214) 841-2000
Fax: (214) 841-2015
Type: Mailing
12720 HILLCREST RD STE 300
DALLAS, TX 752302089
Phone: (214) 814-1550
Fax: (214) 814-1350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $443.
Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($131).
Total Amount
$443
General + Research + Ownership
Payments
15
Total payment records
General Amount
$443
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
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: 2010-09-23
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 |
|---|---|---|---|---|
| I20100923000751 | I | Interventional Cardiology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 403 | 178 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 229 | 152 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 139 | 133 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 84 | 21 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 69 | 67 | $0 |
Insurance plans in this area (ZIP 75246)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | TX | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 65 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Interventional Cardiology | TX | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | TX |
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