MR. RUSSELL JOHNSON – Specialist, NPI 1447205554
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. RUSSELL JOHNSON
601, Old Wagner Road, Berkeley Manor, Petersburg, Virginia, 23805, United States
SUITE 101
PETERSBURG, VA 238059313
Phone: (804) 524-2260
Fax: (804) 524-0096
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: 2005-06-17
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 |
|---|---|---|---|---|
| I20050617000668 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 146 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 197 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 174 | 174 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 117 | 108 | $0 |
| 81003 | Automated urinalysis test | 79 | 67 | $0 |
Insurance plans in this area (ZIP 23805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | VA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 67 | 67 |
| INTERNAL MEDICINE | VA | 94727 | Determination of lung volumes using gas dilution or washout | 43 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA |
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