GREGORY JOHNSON (MD) – Emergency Medicine Physician, NPI 1801985056

GREGORY JOHNSON (MD) is a healthcare provider. based in Hideaway, Texas. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. F9625 (TX). The NPI Number for GREGORY JOHNSON (MD) is 1801985056

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY JOHNSON (MD)
NPI
1801985056
Phone
(903) 882-7890
Address
112 SAINT ANDREWS CIR
Enumeration Date
12 October 2006
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9565461000
Graduation Year
1981 (45 years ago)
PAC ID
2062514920
Group Practice PAC ID
9830142157
Professional Enrollment ID
I20070222000741
Address ID
TX785208602BR1755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for GREGORY JOHNSON (MD)

  • 112 SAINT ANDREWS CIR

    HIDEAWAY, TX 757715056

    Phone: (903) 882-7890

    Type: Location

  • 3302 BOCA CHICA BLVD

    BROWNSVILLE, TX 785215193

    Phone: (956) 982-1001

    Type: Location

  • 215, Winged Foot Drive, Hideaway, Smith County, Texas, 75771, United States

    HIDEAWAY, TX 757715056

    Phone: (903) 882-7890

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-02-22

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
I20070222000741IEmergency MedicineTXTBD

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
J0696Injection, ceftriaxone sodium, per 250 mg7619$0
99213Established patient office or other outpatient visit, 20-29 minutes5339$0
J1885Injection, ketorolac tromethamine, per 15 mg4811$0
99212Established patient office or other outpatient visit, 10-19 minutes4027$0
81003Automated urinalysis test3734$0
View full utilization report →

Insurance plans in this area (ZIP 75771)

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Provider's Procedures

GREGORY JOHNSON (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINETX73562X-ray of knee, 3 views1312
EMERGENCY MEDICINETX83036Hemoglobin A1C level4439

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: 9830142157View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, Peripheral Vascular DiseaseTX
Physician AssistantTX
-TX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
-TX

Reviews

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Frequently asked questions

Does GREGORY JOHNSON (MD) have a public NPI I can cite?
Public records show GREGORY JOHNSON (MD) under NPI 1801985056.
Does the public listing show GREGORY JOHNSON (MD) as active?
GREGORY JOHNSON (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits GREGORY JOHNSON (MD)?
NPPES ties GREGORY JOHNSON (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is GREGORY JOHNSON (MD) tied to Hideaway, Texas?
If you are local to Hideaway, Texas, GREGORY JOHNSON (MD) may be relevant to your search.
Why is information missing for GREGORY JOHNSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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