DR. JASON LYNN JOHNSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1376638718
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
357 OBSTETRICS/GYNECOLOGY in UT
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Provider Addresses for DR. JASON LYNN JOHNSON (M.D.)
1140, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
STE 400
SALT LAKE CITY, UT 841241228
Phone: (801) 268-6811
Fax: (801) 268-8673
Type: Mailing
PO BOX 198546
ATLANTA, GA 303848546
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $396.
Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($78).
Total Amount
$396
General + Research + Ownership
Payments
15
Total payment records
General Amount
$396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $78 |
| Ethicon US, LLC | $76 |
| Medtronic, Inc. | $62 |
| Astellas Pharma US Inc | $57 |
| ABBVIE INC. | $36 |
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: 2004-08-18
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 |
|---|---|---|---|---|
| I20040818000303 | I | Obstetrics/Gynecology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Certified Nurse Midwife (Cnm) | UT | |
| Certified Nurse Midwife (Cnm) | UT | |
| - | UT | |
| Certified Nurse Midwife (Cnm) | UT | |
| Certified Nurse Midwife (Cnm) | UT | |
| - | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT |
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