JACK ALSTON JOHNSON (MD) – Emergency Medicine Physician, NPI 1881129419
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,050 EMERGENCY MEDICINE in TX
Provider Addresses for JACK ALSTON JOHNSON (MD)
Brentwood Stair Road, Ederville, Fort Worth, Tarrant County, Texas, 76112, United States
FORT WORTH, TX 761123200
Phone: (817) 496-9700
Type: Mailing
1400 N. I-35
UT at Austin Dell EM Residency Program, Suite 2.230
Austin, TX 78701
Phone: (512) 324-7010
Type: Location
108 Denver Trl
Azle, TX 760203614
Phone: (817) 444-8600
Type: Location
2750 SW Wilshire Blvd
Burleson, TX 760288338
Phone: (817) 782-8000
Type: Location
Lone Star Road, Mansfield, Johnson County, Texas, 76063, United States
MANSFIELD, TX 760638744
Phone: (877) 847-9355
Type: Location
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: 2019-11-26
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 |
|---|---|---|---|---|
| I20191126000290 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 88 | 85 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 47 | 46 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 27 | 27 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 21 | 21 | $0 |
| 99291 | Critical care, first 30-74 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 76112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Emergency Medicine | LA | |
| - | TX | |
| Emergency Medicine | HI | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine, Family Practice | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | OK | |
| - | TX |
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