Doctor profile · Federal record

Dr. ADAM JOHNSON, M.D.

Emergency Medicine Physician · Emergency Medicine Physician · JACKSON, WY

  • NPI 1043364797
  • MIPS 100.0 / 100 · 2023
  • 19 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
625 E BROADWAY AVE
JACKSON, WY 830018642
(307) 739-7250
fax (307) 739-7249
Additional location
3345 W Cody Lane Unit 9
Teton Village, WY 830250544
(307) 739-7346
fax (307) 739-7349
Mailing address
PO BOX 428
JACKSON, WY 830010428

Credentials & registration

NPPES · NUCC
NPI registered
January 2007 — 19 yrs on file
Profile last updated
February 10, 2021
Specialty taxonomy
207P00000X — NUCC code
State licenses (2)
Wyoming #7834A · Utah #6447817-1205
Medicaid
WY #139580000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043364797. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$17
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Tris Pharma Inc 1 $16.58

By nature of payment

Food and Beverage
$17