ALISON BRANDEIS JOHNSON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1265963425
Vascular & Interventional Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
238 GENERAL SURGERY in UT
Provider Addresses for ALISON BRANDEIS JOHNSON (M.D.)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (865) 305-9006
Type: Mailing
3903 MEDICAL DR STE 100
OGDEN, UT 844032316
Phone: (801) 387-8900
Type: Location
The Highline Apartment, 2223, Dodge Street, Omaha, Douglas County, Nebraska, 68102, United States
APT 613
OMAHA, NE 681021912
Phone: (917) 841-6970
Type: Mailing
University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States
UVMMC
BURLINGTON, VT 054011473
Phone: (802) 847-2345
Type: Location
1924 ALCOA HWY # U-11
KNOXVILLE, TN 379201511
Phone: (865) 305-9006
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $6,056.
Total Amount is formed as General ($6,056) + Research ($0) + Ownership ($0) = $6,056.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Medtronic, Inc. ($6,056).
Total Amount
$6,056
General + Research + Ownership
Payments
3
Total payment records
General Amount
$6,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $6,056 |
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: 2025-07-25
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 |
|---|---|---|---|---|
| I20250725003845 | I | General Surgery | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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