GARY K JOHNSON (M.D.) – Otolaryngology Physician, NPI 1437129186

GARY K JOHNSON (M.D.) is a healthcare provider. based in Mount vernon, Washington. specializing in ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, OTOLARYNGOLOGY, SURGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00011699 (WA). The NPI Number for GARY K JOHNSON (M.D.) is 1437129186

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
GARY K JOHNSON (M.D.)
NPI
1437129186
Phone
(360) 336-2178
Address
1400 E KINCAID ST
Enumeration Date
25 January 2006
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3603362178
Graduation Year
1974 (52 years ago)
PAC ID
2365336401
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20100908000252
Address ID
WA982744036MO118XXSTXX400

Contacts

Secure Messaging
gjohnson12455@skagit.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

94 ALLERGY/IMMUNOLOGY in WA

Provider Addresses for GARY K JOHNSON (M.D.)

  • 1400, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States

    MOUNT VERNON, WA 982744127

    Phone: (360) 336-2178

    Fax: (360) 336-1674

    Type: Mailing

  • 118 S 12TH ST

    MOUNT VERNON, WA 982744036

    Phone: (360) 336-2178

    Fax: (360) 336-1995

    Type: Location

  • 111, South 13th Street, Mount Vernon, Skagit County, Washington, 98274, United States

    MOUNT VERNON, WA 982744105

    Phone: (360) 336-2178

    Fax: (360) 336-1674

    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: 2010-09-08

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
I20100908000252IOtolaryngologyWATBD

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
69210Removal of impacted ear wax419314$0
99213Established patient office or other outpatient visit, 20-29 minutes363246$0
99203New patient office or other outpatient visit, 30-44 minutes130130$0
99214Established patient office or other outpatient visit, 30-39 minutes11091$0
92504Exam of ear using a microscope9485$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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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: 6800793522View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Orthopedic SurgeryWA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
G A S T R O E N T E R O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for GARY K JOHNSON (M.D.) in U.S. healthcare records?
The official identifier for GARY K JOHNSON (M.D.) is NPI 1437129186.
Is GARY K JOHNSON (M.D.) shown as active in public data?
Registry records indicate GARY K JOHNSON (M.D.) maintains an active NPI.
What expertise is attributed to GARY K JOHNSON (M.D.)?
GARY K JOHNSON (M.D.)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is GARY K JOHNSON (M.D.) registered?
Use Mount Vernon, Washington as the headline location for GARY K JOHNSON (M.D.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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