GARY BLAKE JOHNSON (MD) – Urology Physician, NPI 1144223827
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
97 UROLOGY in UT
Provider Addresses for GARY BLAKE JOHNSON (MD)
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
24 S 1100 E STE 105
SALT LAKE CITY, UT 841021593
Phone: (801) 965-3600
Type: Location
100 South, Salt Lake City, Salt Lake County, Utah, 84112-0102, United States of America
STE 110
SALT LAKE CITY, UT 841021591
Phone: (801) 531-9453
Fax: (801) 531-9467
Type: Location
7181 S CAMPUS VIEW DR STE 200
WEST JORDAN, UT 840844312
Phone: (801) 965-3505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $9,759.
Total Amount is formed as General ($9,759) + Research ($0) + Ownership ($0) = $9,759.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,916).
Total Amount
$9,759
General + Research + Ownership
Payments
35
Total payment records
General Amount
$9,759
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $8,916 |
| Boston Scientific Corporation | $240 |
| UROGEN PHARMA, INC. | $162 |
| Medtronic, Inc. | $92 |
| Progenics Pharmaceuticals, Inc. | $54 |
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050519001121 | I | Urology | UT | TBD |
| I20160705002174 | I | Urology | WY | TBD |
| I20260225003883 | I | Urology | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 222 | 148 | $0 |
| 81002 | Urinalysis, manual test | 150 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 131 | 118 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 129 | 117 | $0 |
| 81003 | Automated urinalysis test | 88 | 74 | $0 |
Insurance plans in this area (ZIP 84119)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
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