MADDIE JOHNSON (PA-C) – Physician Assistant, NPI 1295156768
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
Provider Addresses for MADDIE JOHNSON (PA-C)
711 Onyx St
Kemmerer, WY 831013214
Phone: (307) 877-4401
Type: Location
711 ONYX ST
KEMMERER, WY 831013214
Phone:
Type: Mailing
PO BOX 6010
GREAT FALLS, MT 594066010
Phone: (406) 731-8888
Fax: (406) 731-8318
Type: Mailing
1401 25TH ST S
GREAT FALLS, MT 594055183
Phone: (406) 731-8888
Fax: (406) 731-8318
Type: Location
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 $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: KCI USA, Inc. ($40).
Total Amount
$85
General + Research + Ownership
Payments
3
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KCI USA, Inc. | $40 |
| GlaxoSmithKline, LLC. | $25 |
| Hologic Sales and Service, LLC | $20 |
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: 2018-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181023000695 | I | Physician Assistant | MT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 309 | 287 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 34 | $0 |
Insurance plans in this area (ZIP 83101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| A N E S T H E S I O L O G Y | MT | |
| - | MT | |
| N E U R O L O G Y | MT | |
| - | MT | |
| Preventive Medicine | SC | |
| - | MT | |
| - | MT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MT | |
| - | MT |
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