DR. JACK LEEGON JR. JOHNSON (M.D.) – Family Medicine Physician, NPI 1801859996

DR. JACK LEEGON JR. JOHNSON (M.D.) is a healthcare provider. based in Lewisville, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. H5576 (TX). The NPI Number for DR. JACK LEEGON JR. JOHNSON (M.D.) is 1801859996

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK LEEGON JR. JOHNSON (M.D.)
NPI
1801859996
Phone
(972) 436-9797
Address
560 W MAIN ST
Enumeration Date
10 April 2006
Last Update Date
21 June 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
9723551505
Graduation Year
1983 (43 years ago)
PAC ID
1557327988
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20041208000226
Address ID
TX750281528FL4001XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. JACK LEEGON JR. JOHNSON (M.D.)

  • 560, West Main Street, Lewisville, Denton County, Texas, 75057, United States

    SUITE 100

    LEWISVILLE, TX 750573629

    Phone: (972) 436-9797

    Fax: (972) 436-9790

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($126).

Total Amount

$585

General + Research + Ownership

Payments

26

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2004-12-08

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
I20041208000226IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes257131$0
96372Injection of drug or substance under skin or into muscle10523$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
J1100Injection, dexamethasone sodium phosphate, 1 mg6416$0
99214Established patient office or other outpatient visit, 30-39 minutes4333$0
View full utilization report →

Insurance plans in this area (ZIP 75057)

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Provider's Procedures

DR. JACK LEEGON JR. JOHNSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test2215
FAMILY MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1111

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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the registry number for DR. JACK LEEGON JR. JOHNSON (M.D.)?
The registry entry for DR. JACK LEEGON JR. JOHNSON (M.D.) shows NPI 1801859996.
Is DR. JACK LEEGON JR. JOHNSON (M.D.)'s NPI status active today?
Active status means DR. JACK LEEGON JR. JOHNSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. JACK LEEGON JR. JOHNSON (M.D.)'s listing?
DR. JACK LEEGON JR. JOHNSON (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JACK LEEGON JR. JOHNSON (M.D.)?
DR. JACK LEEGON JR. JOHNSON (M.D.) shows a connection to Lewisville, Texas in registry-derived data.
Can I export DR. JACK LEEGON JR. JOHNSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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