PAUL MICHAEL JOHNSON (M.D.) – Family Medicine Physician, NPI 1063826832

PAUL MICHAEL JOHNSON (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 9548764-1205 (UT). The NPI Number for PAUL MICHAEL JOHNSON (M.D.) is 1063826832

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
PAUL MICHAEL JOHNSON (M.D.)
NPI
1063826832
Phone
(801) 265-2000
Address
1250 E 3900 S
Enumeration Date
19 June 2014
Last Update Date
23 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4357193500
Graduation Year
2014 (12 years ago)
PAC ID
1658681895
Group Practice PAC ID
2466361720
Professional Enrollment ID
I20171013000879
Address ID
UT845322185MO450XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for PAUL MICHAEL JOHNSON (M.D.)

  • 1250 E 3900 S

    Suite 260

    Salt Lake City, UT 841241348

    Phone: (801) 265-2000

    Fax: (801) 265-2008

    Type: Location

  • 450 WILLIAMS WAY

    MOAB, UT 845322185

    Phone: (435) 719-3500

    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: 2017-10-13

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
I20171013000879IFamily PracticeUTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
99239Hospital discharge day management, more than 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 84124)

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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: 2466361720View full group profile
NameSpecialtyState
General SurgeryWI
-UT
Orthopedic SurgeryAZ
Family PracticeCO
Certified Registered Nurse Anesthetist (Crna)NM
Orthopedic SurgeryUT
Family Practice, Hospitalist, Family PracticeUT
General SurgeryUT
-UT
Family PracticeUT

Reviews

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Frequently asked questions

Is PAUL MICHAEL JOHNSON (M.D.) listed with a National Provider Identifier?
Yes — PAUL MICHAEL JOHNSON (M.D.) has NPI 1063826832 on file in the registry.
Is there an active status for PAUL MICHAEL JOHNSON (M.D.)?
For scheduling context, PAUL MICHAEL JOHNSON (M.D.) is shown as active in the registry.
What kind of doctor is PAUL MICHAEL JOHNSON (M.D.)?
PAUL MICHAEL JOHNSON (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAUL MICHAEL JOHNSON (M.D.)?
Travel planning: use Salt Lake City, Utah as the reference point for PAUL MICHAEL JOHNSON (M.D.), then confirm.
When was this NPI issued?
Enumeration for PAUL MICHAEL JOHNSON (M.D.) is noted as June 19, 2014 where the registry provides it.

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