ANDREW MARK JOHANSSON (PA-C) – Physician Assistant, NPI 1417189473
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for ANDREW MARK JOHANSSON (PA-C)
4030 George Washington Mem Hwy Ste B
Yorktown, VA 236922619
Phone: (757) 873-1554
Fax: (757) 873-3239
Type: Location
730, Thimble Shoals Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States
SUITE 130
NEWPORT NEWS, VA 236064562
Phone: (757) 873-1554
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Smith+Nephew, Inc. ($93).
Total Amount
$148
General + Research + Ownership
Payments
8
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $93 |
| Bioventus LLC | $29 |
| Amgen Inc. | $14 |
| Endo Pharmaceuticals Inc. | $13 |
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: 2009-08-26
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 |
|---|---|---|---|---|
| I20090826000266 | I | Physician Assistant | VA | 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 | 581 | 289 | $0 |
| 11730 | Simple separation of fingernail or toenail from nail bed, first nail | 81 | 66 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 66 | 45 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 64 | 43 | $0 |
| 20605 | Aspiration and/or injection of fluid from medium joint | 45 | 33 | $0 |
Insurance plans in this area (ZIP 23692)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VA | 73630 | X-ray of foot, minimum of 3 views | 29 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA |
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