ROBERT JOHNSON (MD00041003) – Emergency Medicine Physician, NPI 1730262726

ROBERT JOHNSON (MD00041003) is a healthcare provider. based in Walla walla, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD00041003. They hold a License No. MD00041003 (WA). The NPI Number for ROBERT JOHNSON (MD00041003) is 1730262726

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JOHNSON (MD00041003)
NPI
1730262726
Phone
(095) 897-3000
Address
1025 S 2ND AVE
Enumeration Date
23 October 2006
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092217000
Graduation Year
1999 (27 years ago)
PAC ID
9335175751
Group Practice PAC ID
5092951814
Professional Enrollment ID
I20050715000956
Address ID
WA993382722KE3810XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for ROBERT JOHNSON (MD00041003)

  • 1025 S 2ND AVE

    WALLA WALLA, WA 993624116

    Phone: (095) 897-3000

    Fax: (509) 897-5899

    Type: Location

  • Virginia Mason Memorial, 2811, Tieton Drive, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989023761

    Phone: (509) 575-8000

    Fax: (509) 225-3168

    Type: Location

  • 7320, West Hood Place, Tri-Cities, Benton County, Washington, 99336, United States

    STE 101

    KENNEWICK, WA 993367721

    Phone: (509) 737-1492

    Fax: (509) 737-1494

    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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Boston Scientific Corporation ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

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: 2005-07-15

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
I20050715000956IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making343321$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only301275$0
99284Emergency department visit with moderate level of medical decision making114110$0
99291Critical care, first 30-74 minutes8985$0
View full utilization report →

Insurance plans in this area (ZIP 99362)

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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: 5092951814View full group profile
NameSpecialtyState
Emergency MedicineID
Emergency Medicine, Family PracticeID
Emergency MedicineWA
Family PracticeOR

Reviews

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Frequently asked questions

Does ROBERT JOHNSON (MD00041003) have a public NPI I can cite?
Public records show ROBERT JOHNSON (MD00041003) under NPI 1730262726.
Does the public listing show ROBERT JOHNSON (MD00041003) as active?
ROBERT JOHNSON (MD00041003)'s NPI record reflects an active status in NPPES.
Which specialty label fits ROBERT JOHNSON (MD00041003)?
NPPES ties ROBERT JOHNSON (MD00041003) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ROBERT JOHNSON (MD00041003)?
ROBERT JOHNSON (MD00041003) shows a connection to Walla Walla, Washington in registry-derived data.
Why is information missing for ROBERT JOHNSON (MD00041003)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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