DR. MICHAEL DAVID JOHNSON (D.O.) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1831552439
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 UNDERSEA AND HYPERBARIC MEDICINE in UT
Provider Addresses for DR. MICHAEL DAVID JOHNSON (D.O.)
4401 HARRISON BLVD STE 1885
OGDEN, UT 844033195
Phone: (801) 387-4870
Type: Location
State Street, Old Port, Portland, Cumberland County, Maine, 04112, United States
PORTLAND, ME 041013776
Phone: (207) 879-3190
Type: Location
155 Fore River Pkwy Ste 110
Portland, ME 041022795
Phone: (207) 879-3190
Type: Location
641, Oscar Street, Vallejo, Solano County, California, 94592, United States
VALLEJO, CA 945921176
Phone: (801) 440-4275
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: MIMEDX Group, Inc. ($246).
Total Amount
$583
General + Research + Ownership
Payments
17
Total payment records
General Amount
$583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $246 |
| Organogenesis Inc. | $193 |
| Solventum Corporation | $62 |
| TACTILE SYSTEMS TECHNOLOGY INC | $34 |
| KCI USA, Inc. | $33 |
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: 2022-11-08
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 |
|---|---|---|---|---|
| I20221108001621 | I | Undersea And Hyperbaric Medicine | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 191 | 94 | $0 |
| 99183 | Management of oxygen chamber therapy | 189 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 59 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 80 | 45 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 72 | 56 | $0 |
Insurance plans in this area (ZIP 84403)
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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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