GREGORY LOUIS JOHNSON – Physician Assistant, NPI 1568080505
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,703 PHYSICIAN ASSISTANT in WI
Provider Addresses for GREGORY LOUIS JOHNSON
700 N WESTHAVEN DR
OSHKOSH, WI 549046947
Phone: (920) 456-4030
Type: Location
W165N10212 WAGON TRL
GERMANTOWN, WI 530224747
Phone: (920) 312-4921
Type: Mailing
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone:
Type: Mailing
700 N LAKE AVE
TWIN LAKES, WI 531819436
Phone: (262) 877-2124
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $255.
Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.
Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Medtronic, Inc. ($133).
Total Amount
$255
General + Research + Ownership
Payments
3
Total payment records
General Amount
$255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $133 |
| SPR Therapeutics, Inc | $122 |
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: 2022-10-06
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221006003235 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 72 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 16 | $0 |
Insurance plans in this area (ZIP 54904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Family Practice | WI | |
| - | OH |
Reviews
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