LISA JOHNSON (M.D.) – Specialist, NPI 1154372654

LISA JOHNSON (M.D.) is a healthcare provider. based in Fairfax, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101-057627 (VA). The NPI Number for LISA JOHNSON (M.D.) is 1154372654

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LISA JOHNSON (M.D.)
NPI
1154372654
Phone
(703) 641-9133
Address
3015 WILLIAMS DR
Enumeration Date
12 May 2006
Last Update Date
23 June 2009

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2402234700
Graduation Year
1992 (34 years ago)
PAC ID
1355490913
Group Practice PAC ID
8729972302
Professional Enrollment ID
I20120127000166
Address ID
MD208546812PO12505AVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

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Provider Addresses for LISA JOHNSON (M.D.)

  • Williams Drive, Pine Ridge, Annandale, Fairfax (city), Virginia, 22031, United States

    STE 200

    FAIRFAX, VA 220314623

    Phone: (703) 641-9133

    Fax: (703) 280-5098

    Type: Mailing

  • 21351, Ridgetop Circle, Sterling, Loudoun County, Virginia, 20166, United States

    STE 100

    STERLING, VA 201666561

    Phone: (571) 434-0140

    Fax: (703) 280-5098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: Medline Industries LP ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$14
View all Open Payments →|Open Payments Risk Radar →

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: 2012-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090601000497IDiagnostic RadiologyVATBD
I20120127000166IDiagnostic RadiologyDCTBD

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
77063Screening 3d breast mammography1,3961,213$0
77067Screening mammography1,3901,209$0
77080Dxa bone density measurement of hip, pelvis, spine283283$0
76856Complete ultrasound scan of pelvis104102$0
76536Ultrasound scan of head and neck soft tissue104101$0
View full utilization report →

Insurance plans in this area (ZIP 22031)

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Provider's Procedures

LISA JOHNSON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVA71250CT scan chest4747
DIAGNOSTIC RADIOLOGYVA76830Ultrasound pelvis through vagina5050

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: 8729972302View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyOH
Diagnostic RadiologyGA
Diagnostic RadiologyMA
Diagnostic RadiologyTN
Diagnostic RadiologyOH
Diagnostic RadiologyMD
-VA
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

How is LISA JOHNSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists LISA JOHNSON (M.D.) with NPI 1154372654.
Is LISA JOHNSON (M.D.) listed as active for patients and plans?
The listing shows LISA JOHNSON (M.D.) as active in the NPI system.
What is LISA JOHNSON (M.D.) best known for clinically?
Directory data describes LISA JOHNSON (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What area does LISA JOHNSON (M.D.) serve?
LISA JOHNSON (M.D.)'s listing highlights Fairfax, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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