AMANDA JOHNSON (MD) – Emergency Medicine Physician, NPI 1457970030

AMANDA JOHNSON (MD) is a healthcare provider. based in Hannibal, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 2024012036 (MO). The NPI Number for AMANDA JOHNSON (MD) is 1457970030

Main info

Female
Name
AMANDA JOHNSON (MD)
NPI
1457970030
Phone
(573) 248-5100
Address
6000 Hospital Dr
Enumeration Date
13 April 2020
Last Update Date
30 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for AMANDA JOHNSON (MD)

  • 6000 Hospital Dr

    Hannibal, MO 634016887

    Phone: (573) 248-5100

    Fax: (573) 248-5112

    Type: Location

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone:

    Type: Mailing

  • 1221D S GEAR AVE

    WEST BURLINGTON, IA 526551679

    Phone: (319) 768-1000

    Type: Mailing

  • 1221 S GEAR AVE

    BURLINGTON, IA 526550001

    Phone: (319) 768-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($19).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230105000541IEmergency MedicineILTBD
I20230521000055IEmergency MedicineIATBD
I20241008002016IEmergency MedicineMOTBD

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
99285Emergency department visit with high level of medical decision making161157$0
99284Emergency department visit with moderate level of medical decision making9591$0
99283Emergency department visit with low level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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Reviews

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Frequently asked questions

Can I use this page to confirm AMANDA JOHNSON (MD)'s NPI?
Yes. AMANDA JOHNSON (MD) is listed with NPI 1457970030 in the public NPI dataset.
Is AMANDA JOHNSON (MD) still practicing?
AMANDA JOHNSON (MD) is currently listed as active in the public NPI registry.
What is AMANDA JOHNSON (MD) best known for clinically?
Directory data describes AMANDA JOHNSON (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does AMANDA JOHNSON (MD) serve?
AMANDA JOHNSON (MD)'s listing highlights Hannibal, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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