LAGRAND JOHNSON D.O.
NPI 1275797417
General Practice in Payson, UT

Active since July 16, 2008PECOS Enrolled
1172 E 100 N, PAYSON, UT 84651(801) 341-1950 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lagrand Johnson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAGRAND JOHNSON D.O. (NPI 1275797417) is an individual general practice provider in Payson, Utah, licensed in Utah (323252-1204) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1275797417
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLAGRAND JOHNSONCredential: D.O.
Location Address1172 E 100 NPayson, UT 84651-1667
Mailing Address1309 N 550 WPleasant Grove, UT 84062-9296 · (801) 592-8149
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 16, 2008
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1275797417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in UT · 323252-1204✔ Licensed in CA · 20A 6898
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1172 E 100 N, Payson, UT 84651

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lagrand Johnson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719466887
PECOS Enrollment IDI20260327004009
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lagrand Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona and Utah enrollments
  • 556 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1172 E 100 N, SUITE # 3
PAYSON, UT 84651
Dentist
1172 E 100 N, SUITE 6
PAYSON, UT 84651
Eyewear Supplier
1172 E 100 N
PAYSON, UT 84651
Counselor (Mental Health)
1172 E 100 N, SUITE 9
PAYSON, UT 84651
Social Worker (Clinical)
1172 E 100 N, SUITE 8
PAYSON, UT 84651
Pharmacist
1172 E 100 N
PAYSON, UT 84651
Dentist
1172 E 100 N, SUITE #6
PAYSON, UT 84651
Dentist (General Practice)
1172 E 100 N, SUITE 6
PAYSON, UT 84651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lagrand Johnson's NPI number?

The NPI number for Lagrand Johnson is 1275797417. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Lagrand Johnson located?

Lagrand Johnson practices at 1172 E 100 N, Payson, UT 84651. The listed phone number is (801) 341-1950.

What is Lagrand Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lagrand Johnson enrolled in Medicare?

Yes. Lagrand Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lagrand Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lagrand Johnson reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates Of California, PC (San Francisco, CA) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lagrand Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lagrand Johnson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.