Jacob Johnson, D.O.
NPI 1689055154ActiveIndividual· Emergency Medicine· Hudson, WI
Emergency Medicine (D.O.) in Hudson, Wisconsin, trained at Des Moines University of Osteopathic Medicine and Health Sciences (class of 2015). Part D covered 109 prescriptions written in 2024, 91% of them generic.
Overview
| NPI | 1689055154 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 10, 2015 |
| Last updated in NPPES | Mar 10, 2026 |
| Certified by provider | Mar 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 71536-21 | WI |
| Emergency Medicine | 207P00000X | 5101022137 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN); Practitioner - Emergency Medicine (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 109 · 111 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $2,630 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | Des Moines University of Osteopathic Medicine and Health Sciences |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Emergency Medicine |
Medical group
- Group Health IncBloomington, MN · 1,638 clinicians
Hospital affiliations
- Amery Hospital & ClinicAmery, WI
- Cumberland Memorial HospitalCumberland, WI
- Hudson HospitalHudson, WI
- Lakeview Memorial HospitalStillwater, MN
- Westfields Hospital and ClinicNew Richmond, WI
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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