DR. MICHAEL C JOHNSON (M.D.) – Family Medicine Physician, NPI 1336158252

DR. MICHAEL C JOHNSON (M.D.) is a healthcare provider. based in Williston, Vermont. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0420010982 (VT). The NPI Number for DR. MICHAEL C JOHNSON (M.D.) is 1336158252

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL C JOHNSON (M.D.)
NPI
1336158252
Phone
(802) 878-1008
Address
28 PARK AVE
Enumeration Date
7 August 2006
Last Update Date
24 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028781008
Graduation Year
2002 (24 years ago)
PAC ID
2769412469
Group Practice PAC ID
1153402888
Professional Enrollment ID
I20050812000462
Address ID
VT054954449WI426XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

355 FAMILY PRACTICE in VT

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Provider Addresses for DR. MICHAEL C JOHNSON (M.D.)

  • 28, Park Avenue, Williston Park, North Hempstead, Nassau County, New York, 11596, United States

    WILLISTON, VT 054959701

    Phone: (802) 878-1008

    Mailing address matches the actual address.

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: 2005-08-12

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
I20050812000462IFamily PracticeVTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes302166$0
36415Insertion of needle into vein for collection of blood sample225129$0
99213Established patient office or other outpatient visit, 20-29 minutes12995$0
80048Blood test, basic group of blood chemicals (calcium, total)12284$0
99215Established patient office or other outpatient visit, 40-54 minutes11269$0
View full utilization report →

Insurance plans in this area (ZIP 05495)

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Provider's Procedures

DR. MICHAEL C JOHNSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVT81002Urinalysis, manual test4330
FAMILY MEDICINEVT83036Hemoglobin A1C level12766

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: 1153402888View full group profile
NameSpecialtyState
Family PracticeVT
Physician AssistantVT
Nurse PractitionerVT
Family Practice, Sports MedicineVT
Family PracticeVT
Family PracticeVT
-VT
Physician AssistantVT
-VT
Physician AssistantVT

Reviews

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Frequently asked questions

Does DR. MICHAEL C JOHNSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHAEL C JOHNSON (M.D.) uses 1336158252.
Is DR. MICHAEL C JOHNSON (M.D.) still practicing?
DR. MICHAEL C JOHNSON (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. MICHAEL C JOHNSON (M.D.) hold?
Scheduling teams often label DR. MICHAEL C JOHNSON (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL C JOHNSON (M.D.) based?
DR. MICHAEL C JOHNSON (M.D.) is tied to Williston, Vermont in the data we show; additional addresses may exist on the full record.
Is the information about DR. MICHAEL C JOHNSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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