Larry Dean Johnson, PA
NPI 1205970365ActiveIndividual· Physician Assistant· Branson, MO
Physician Assistant (PA) in Branson, Missouri, licensed in MO and AR, with an NPI issued in February 2007. 404 Medicare patients in 2024, $23,529 paid; nearly all of their 985 Part D prescriptions were generic (97%).
Overview
| NPI | 1205970365 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | May 26, 2021 |
| Certified by provider | May 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2018044339 | MO |
| Physician Assistant | 363A00000X | PA-263 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AR); Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 404 |
|---|---|
| Services billed | 2,081 across 29 procedure codes |
| Paid by Medicare | $23,529 |
Part D prescriptions in 2024
| Prescriptions (claims) | 985 · 994 30-day fills |
|---|---|
| Patients | 654 |
| Total drug cost | $8,898 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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