KYLE ROBERT JOHNSON MD
NPI 1063972487
Emergency Medicine in Douglas, WY

Q: What is Kyle Johnson's NPI number?

The NPI number for Kyle Johnson is 1063972487. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Kyle Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Johnson was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

111 S 5TH ST, DOUGLAS, WY 82633(307) 358-2122 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Mar 21, 2019 (2 updates tracked since 2019).

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About Kyle Robert Johnson Md NPPES

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

KYLE ROBERT JOHNSON MD (NPI 1063972487) is an individual emergency medicine provider in Douglas, Wyoming, licensed in Wyoming (16983A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Converse County, and is a graduate of Oregon Health & Sciences Univ School Of Dentistry (2021).

NPPES Registry Identity

NPI1063972487

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKYLE ROBERT JOHNSONCredential: MD

Location Address111 S 5TH STDouglas, WY 82633-2434

Mailing Address111 S 5th StDouglas, WY 82633-2434 · (307) 358-2122

Phone(307) 358-2122

Sole ProprietorYes

Medical School CMSOregon Health & Sciences Univ School Of DentistryGraduated 2021

Enumeration DateMarch 21, 2019

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1063972487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WY · 16983A

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.

111 S 5TH ST, Douglas, WY 82633

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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

Kyle Robert Johnson Md 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 ID5294138277

PECOS Enrollment IDI20240819004240

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.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY

OwnershipGovernment - Local

CMS Certification Number531302

Location111 South 5th StreetDouglas, WY 82633 · Converse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82633 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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.

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.

JASLYN ROBB SEELEY

Occupational Therapist