ROBERT G JR. JOHNSON (M.D.) – Family Medicine Physician, NPI 1104846351

ROBERT G JR. JOHNSON (M.D.) is a healthcare provider. based in Ellensburg, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00040371 (WA). The NPI Number for ROBERT G JR. JOHNSON (M.D.) is 1104846351

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT G JR. JOHNSON (M.D.)
NPI
1104846351
Phone
(509) 962-6348
Address
107 E Mountain View Ave
Enumeration Date
20 July 2006
Last Update Date
6 June 2019

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5415499609
Graduation Year
1995 (31 years ago)
PAC ID
1456454610
Group Practice PAC ID
8325941446
Professional Enrollment ID
I20121114000165
Address ID
OR977592619SI354XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for ROBERT G JR. JOHNSON (M.D.)

  • 107 E Mountain View Ave

    Ellensburg, WA 989265312

    Phone: (509) 962-6348

    Fax: (509) 962-2003

    Type: Location

  • PO BOX 670

    BEND, OR 977090670

    Phone: (541) 276-1700

    Fax: (541) 276-6327

    Type: Mailing

  • 2450, Southwest Perkins Avenue, Pendleton, Umatilla County, Oregon, 97801, United States

    PENDLETON, OR 97801

    Phone: (541) 276-1700

    Fax: (541) 276-6327

    Type: Location

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: 2019-06-04

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
I20190604000181IFamily PracticeORTBD

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 minutes3217$0
View full utilization report →

Insurance plans in this area (ZIP 98926)

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Provider's Procedures

ROBERT G JR. 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 MEDICINEWA83036Hemoglobin A1C level9367

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: 8325941446View full group profile
NameSpecialtyState
Family PracticeOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
-OR
Family PracticeOR
-OR
-OR
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is ROBERT G JR. JOHNSON (M.D.) listed with a National Provider Identifier?
Yes — ROBERT G JR. JOHNSON (M.D.) has NPI 1104846351 on file in the registry.
Active or inactive — what applies to ROBERT G JR. JOHNSON (M.D.)?
You should see ROBERT G JR. JOHNSON (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe ROBERT G JR. JOHNSON (M.D.)'s focus?
For ROBERT G JR. JOHNSON (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT G JR. JOHNSON (M.D.) located near Ellensburg?
ROBERT G JR. JOHNSON (M.D.) currently maps to Ellensburg, Washington in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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