DR. MICHAEL D JOHNSON (MD) – Internal Medicine Physician, NPI 1689642845

DR. MICHAEL D JOHNSON (MD) is a healthcare provider. based in Sheboygan, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 42241020 (WI). The NPI Number for DR. MICHAEL D JOHNSON (MD) is 1689642845

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL D JOHNSON (MD)
NPI
1689642845
Phone
(920) 453-5410
Address
2920 SUPERIOR AVE
Enumeration Date
14 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9204526000
Graduation Year
1997 (29 years ago)
PAC ID
1254363807
Group Practice PAC ID
0648435214
Professional Enrollment ID
I20060328000308
Address ID
WI530811944SH2920XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,941 INTERNAL MEDICINE in WI

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Provider Addresses for DR. MICHAEL D JOHNSON (MD)

  • 2920, Superior Avenue, Sheboygan, Sheboygan County, Wisconsin, 53081, United States

    SHEBOYGAN, WI 530811944

    Phone: (920) 453-5410

    Fax: (920) 803-2990

    Mailing address matches the actual address.

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: 2006-03-28

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
I20060328000308IInternal MedicineWITBD

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
36415Insertion of needle into vein for collection of blood sample595376$0
99214Established patient office or other outpatient visit, 30-39 minutes386328$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit276276$0
80053Blood test, comprehensive group of blood chemicals249217$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count248188$0
View full utilization report →

Insurance plans in this area (ZIP 53081)

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Provider's Procedures

DR. MICHAEL D JOHNSON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWI90670Pneumococcal vaccine for injection into muscle6565

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: 0648435214View full group profile
NameSpecialtyState
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Internal MedicineWI
Internal MedicineWI
-WI
Internal MedicineWI
Nurse PractitionerWI
H E M A T O L O G Y/ O N C O L O G YWI
-WI

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL D JOHNSON (MD) in U.S. healthcare records?
The official identifier for DR. MICHAEL D JOHNSON (MD) is NPI 1689642845.
Active or inactive — what applies to DR. MICHAEL D JOHNSON (MD)?
You should see DR. MICHAEL D JOHNSON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MICHAEL D JOHNSON (MD)?
At a glance, DR. MICHAEL D JOHNSON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL D JOHNSON (MD) located near Sheboygan?
DR. MICHAEL D JOHNSON (MD) currently maps to Sheboygan, Wisconsin in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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