STAN MICHAEL JOHNSON (M.D.) – Pediatrics Physician, NPI 1184610461
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for STAN MICHAEL JOHNSON (M.D.)
387, Town Mountain Road, Pikeville, Pike County, Kentucky, 41501, United States
STE 202
PIKEVILLE, KY 415011640
Phone: (606) 437-1008
Fax: (606) 437-5040
Type: Mailing
PO BOX 432
PIKEVILLE, KY 415020432
Phone: (606) 430-3500
Fax: (606) 437-2526
Type: Mailing
387 Town Mountain Rd
ste 202
Pikeville, KY 415011640
Phone: (606) 437-1008
Fax: (606) 437-5040
Type: Location
238 CASSIDY BLVD
PIKEVILLE, KY 415011426
Phone: (606) 430-2230
Fax: (606) 437-2526
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($33).
Total Amount
$79
General + Research + Ownership
Payments
5
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $33 |
| ANI Pharmaceuticals, Inc. | $16 |
| GlaxoSmithKline, LLC. | $15 |
| Sage Therapeutics, Inc. | $14 |
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: 2014-06-04
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 |
|---|---|---|---|---|
| I20140604001958 | I | Pediatric Medicine | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 41501)
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