DR. KEVIN WALKER JOHNSON (M.D.) – Pediatrics Physician, NPI 1174510499
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KEVIN WALKER JOHNSON (M.D.)
1389 SUGAR HILL LN
XENIA, OH 453857340
Phone: (937) 305-7758
Type: Mailing
Lima Memorial Hospital, 1001, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States
LIMA, OH 458042800
Phone: (419) 228-3335
Type: Location
1001 Bellefontaine Ave
Lima, OH 458042800
Phone: (419) 228-3335
Type: Location
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-5725
Fax: (937) 350-3050
Type: Location
8501 Old Troy Pike
Huber Heights, OH 454241054
Phone: (937) 641-4360
Fax: (937) 641-3791
Type: Location
272 Hospital Rd
Chillicothe, OH 456019031
Phone: (740) 779-7500
Type: Location
2951 Maple Ave
Zanesville, OH 437011406
Phone: (074) 045-4500
Type: Location
3333 BURNET AVE
CINCINNATI, OH 452293026
Phone: (513) 636-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $28 |
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: 2024-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151116001173 | I | Pediatric Medicine | OH | TBD |
| I20240828004237 | I | Emergency Medicine | OH | 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 45385)
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Reviews
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