DAVID MICHAEL JOHNSON (MD) – Otolaryngology Physician, NPI 1568704963

DAVID MICHAEL JOHNSON (MD) is a healthcare provider. based in Federal way, Washington. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 134259 (AK). The NPI Number for DAVID MICHAEL JOHNSON (MD) is 1568704963

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MICHAEL JOHNSON (MD)
NPI
1568704963
Phone
(253) 661-2520
Address
34612 6TH AVE S STE 200
Enumeration Date
23 March 2013
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2536612594
Graduation Year
2013 (13 years ago)
PAC ID
8325396062
Group Practice PAC ID
3971596024
Professional Enrollment ID
I20210626000033
Address ID
WA980038723FE34612SXXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

321 OTOLARYNGOLOGY in WA

Provider Addresses for DAVID MICHAEL JOHNSON (MD)

  • 34612 6TH AVE S STE 200

    FEDERAL WAY, WA 980038723

    Phone: (253) 661-2520

    Fax: (253) 661-2694

    Type: Location

  • 4315 DIPLOMACY DR

    ANCHORAGE, AK 995085926

    Phone:

    Type: Mailing

  • 222 2nd St NE

    Auburn, WA 980025040

    Phone: (253) 833-4050

    Fax: (253) 735-5083

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $817.

Total Amount is formed as General ($817) + Research ($0) + Ownership ($0) = $817.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: AERIN MEDICAL INC. ($586).

Total Amount

$817

General + Research + Ownership

Payments

18

Total payment records

General Amount

$817

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210626000033IOtolaryngologyWATBD

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
95165Professional service for preparation and provision of 1 or more antigens1,31816$0
99214Established patient office or other outpatient visit, 30-39 minutes222153$0
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing10977$0
92567Test to assess middle ear function10196$0
92557Comprehensive hearing and speech recognition test9090$0
View full utilization report →

Insurance plans in this area (ZIP 98003)

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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: 3971596024View full group profile
NameSpecialtyState
U R O L O G YWA
U R O L O G YWA
U R O L O G YWA
O T O L A R Y N G O L O G YWA
-WA
U R O L O G YWA
O T O L A R Y N G O L O G YWA
-WA
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

How do payers reference DAVID MICHAEL JOHNSON (MD)?
For DAVID MICHAEL JOHNSON (MD), use NPI 1568704963 as the unique 10-digit identifier.
Is DAVID MICHAEL JOHNSON (MD) still an active registrant?
DAVID MICHAEL JOHNSON (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DAVID MICHAEL JOHNSON (MD)?
At a glance, DAVID MICHAEL JOHNSON (MD) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DAVID MICHAEL JOHNSON (MD)?
Directory geography for DAVID MICHAEL JOHNSON (MD) centers on Federal Way, Washington.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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