GARY B JOHNSON M.D., MPH, FACOEM
NPI 1679673321
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Edina, MN
About Gary B Johnson M.d., Mph, Facoem NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY B JOHNSON M.D., MPH, FACOEM (NPI 1679673321) is an individual preventive medicine/occupational environmental medicine provider in Edina, Minnesota, licensed in Minnesota (30125) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota, Duluth School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gary B Johnson M.d., Mph, Facoem is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gary Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 43 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINA, MN 55435
EDINA, MN 55435
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 Gary Johnson's NPI number?
The NPI number for Gary Johnson is 1679673321. It was assigned to this individual provider in the NPPES registry on September 23, 2006.
Where is Gary Johnson located?
Gary Johnson practices at 7700 France Ave S Ste 240, Edina, MN 55435. The listed phone number is (763) 201-8191.
What is Gary Johnson's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.
Is Gary Johnson enrolled in Medicare?
Yes. Gary Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gary Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Johnson reassigns Medicare benefits to Interventional Spine And Pain Physicians, PA (Maple Grove, MN). The 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 Gary 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 Gary Johnson was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Gary B Johnson, M.D., MPH, FACOEM · NPI 1679673321
Preventive Medicine/Occupational Environmental Medicine physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since September 23, 2006.
## Identity
- **NPI:** 1679673321 (Entity type: Individual)
- **Enumerated:** September 23, 2006
- **Primary specialty:** Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine · taxonomy 2083P0500X
- **State license:** 30125 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 7700 FRANCE AVE S STE 240, Edina, MN 55435-5878
- **Phone:** (763) 201-8191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Interventional Spine And Pain Physicians, PA (NPI 1326398561, Maple Grove, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota, Duluth School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** May 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679673321) · Data from the CMS NPPES public registry.