MR. JOHNNY ROSS PAINE (D.O) – Adult Medicine Physician, NPI 1295708428

MR. JOHNNY ROSS PAINE (D.O) is a healthcare provider. based in Thiensville, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials D.O. They hold a License No. L4621 (TX). The NPI Number for MR. JOHNNY ROSS PAINE (D.O) is 1295708428

Main info

Male
Sole Proprietor
43 Years Of Experience
Name
MR. JOHNNY ROSS PAINE (D.O)
NPI
1295708428
Phone
(414) 247-9005
Address
PO BOX 639
Enumeration Date
8 February 2006
Last Update Date
16 February 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5012782800
Graduation Year
1983 (43 years ago)
PAC ID
7517903081
Group Practice PAC ID
4880688654
Professional Enrollment ID
I20131219000174
Address ID
AR721434802SE2900XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for MR. JOHNNY ROSS PAINE (D.O)

  • PO BOX 639

    THIENSVILLE, WI 530920639

    Phone: (414) 247-9005

    Fax: (414) 247-9004

    Type: Mailing

  • Dewitt Henry Drive, Beebe, White County, Arkansas, 72082, United States

    BEEBE, AR 72012

    Phone: (972) 533-1767

    Fax: (501) 279-1217

    Type: Mailing

  • 15 SILVER OAK DR

    SEARCY, AR 721434584

    Phone: (972) 533-1767

    Fax: (501) 279-1217

    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: 2013-12-19

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
I20131219000174IFamily PracticeARTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes770350$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes37746$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes240143$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes113107$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes8275$0
View full utilization report →

Insurance plans in this area (ZIP 53092)

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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: 4880688654View full group profile
NameSpecialtyState
Nurse PractitionerAR
P S Y C H I A T R YWY
Physician AssistantAR
Nurse PractitionerAR
-AR
Family PracticeAR
Emergency MedicineAR
Family PracticeAR
-AR
Physician AssistantAR

Reviews

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Frequently asked questions

What federal number belongs to MR. JOHNNY ROSS PAINE (D.O)?
The federal identifier for MR. JOHNNY ROSS PAINE (D.O) is NPI 1295708428.
Is MR. JOHNNY ROSS PAINE (D.O) currently active in the NPI registry?
CMS-published data lists MR. JOHNNY ROSS PAINE (D.O) as an active registrant.
What does MR. JOHNNY ROSS PAINE (D.O) treat or focus on?
Patients typically see MR. JOHNNY ROSS PAINE (D.O) under the specialty Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JOHNNY ROSS PAINE (D.O)?
The snapshot lists Thiensville, Wisconsin for MR. JOHNNY ROSS PAINE (D.O); download NPPES for the complete set.
Is MR. JOHNNY ROSS PAINE (D.O) a real provider?
This page reflects official NPPES data for NPI 1295708428. Always confirm identity and privileges with the practice and licensing boards.

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