DR. JEREMY N JOHNSON (DO) – Emergency Medicine Physician, NPI 1447221031
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,206 EMERGENCY MEDICINE in WA
Provider Addresses for DR. JEREMY N JOHNSON (DO)
9040 FITZSIMMONS DR
MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (253) 968-1250
Type: Location
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871256666
Phone: (505) 923-6770
Fax: (505) 923-5354
Type: Mailing
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 871064930
Phone: (505) 841-1125
Type: Location
320 N MAIN
LOCKNEY, TX 79241
Phone: (806) 652-3373
Type: Location
1100 Central Ave SE
Albuquerque, NM 871064930
Phone: (505) 841-1125
Type: Location
20 PINE CT
PLACITAS, NM 870439131
Phone: (808) 895-9420
Type: Mailing
2103, Steilacoom Boulevard, Steilacoom, Pierce County, Washington, 98388, United States
STEILACOOM, WA 983882215
Phone: (206) 330-9203
Type: Mailing
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 $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medline Industries LP ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $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: 2024-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100708000988 | I | Emergency Medicine | TX | TBD |
| I20210401000321 | I | Emergency Medicine | NM | TBD |
| I20241211004026 | I | Emergency 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 22 | 22 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | GA | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | TX | |
| Family Practice | NM | |
| Emergency Medicine | NM | |
| Emergency Medicine | NY | |
| Emergency Medicine | CA | |
| - | TX | |
| Emergency Medicine | TX |
Reviews
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