DR. KYLE W JOHNSON DO
NPI 1013545391
Emergency Medicine in Albany, GA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
417 W 3RD AVE, ALBANY, GA 31701(229) 312-1000 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Oct 31, 2022, Mar 31, 2020 (3 updates tracked since 2020).

About Dr. Kyle W Johnson Do NPPES

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

DR. KYLE W JOHNSON DO (NPI 1013545391) is an individual emergency medicine provider in Albany, Georgia, licensed in Alabama (DO.2743) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013545391
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KYLE W JOHNSONCredential: DO
Location Address417 W 3RD AVEAlbany, GA 31701-1943
Mailing Address226 Story LnLeesburg, GA 31763-5332 · (229) 869-3506
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1013545391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in AL · DO.2743
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
417 W 3RD AVE, Albany, GA 31701

Secondary Practice Locations 2

Location 12451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · Phone (251) 471-7000 · Fax (251) 471-7096
Location 2181 Hillcrest RdMobile, AL 36608 · Phone (251) 341-3800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle W Johnson Do 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.

PECOS PAC ID941628945
PECOS Enrollment IDI20231113001452
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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
173 services163 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services88 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Surgery (Surgical Critical Care)
417 W 3RD AVE
ALBANY, GA 31701
Nurse Practitioner (Acute Care)
417 W 3RD AVE
ALBANY, GA 31701
Emergency Medicine
417 W 3RD AVE
ALBANY, GA 31701
Counselor (Professional)
417 W 3RD AVE
ALBANY, GA 31701
Ambulance (Land Transport)
417 W 3RD AVE
ALBANY, GA 31701
Registered Nurse (Neonatal Intensive Care)
417 W 3RD AVE
ALBANY, GA 31701
Emergency Medicine
417 W 3RD AVE
ALBANY, GA 31701
Nurse Practitioner (Family)
417 W 3RD AVE
ALBANY, GA 31701

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 Kyle Johnson's NPI number?

The NPI number for Kyle Johnson is 1013545391. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Kyle Johnson located?

Kyle Johnson practices at 417 W 3rd Ave, Albany, GA 31701. The listed phone number is (229) 312-1000.

What is Kyle Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kyle Johnson enrolled in Medicare?

Yes. Kyle 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.

What insurance does Kyle Johnson accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health Plan, Inc. list Kyle Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Johnson affiliated with any hospitals?

According to CMS data, Kyle Johnson is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Johnson was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.