MR. KEVIN RUSSELL JOHNSON PA-C
NPI 1194745877
Physician Assistant in Dallas, TX

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
5201 HARRY HINES BLVD, DALLAS, TX 75235(817) 343-0431 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Russell Johnson Pa-c NPPES

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

MR. KEVIN RUSSELL JOHNSON PA-C (NPI 1194745877) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA04026) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194745877
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN RUSSELL JOHNSONCredential: PA-C
Location Address5201 HARRY HINES BLVDDallas, TX 75235-7708
Mailing Address5541 Goodwin AveDallas, TX 75206-6212 · (817) 343-0431
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1194745877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA04026
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5201 HARRY HINES BLVD, Dallas, TX 75235

Other Identifiers 2

OtherPA04026TX · State License #
OtherY0133663TX · Tx Dps #

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

Mr. Kevin Russell Johnson Pa-c 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 ID8527075589
PECOS Enrollment IDI20060315000706
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

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.

Emergency Medicine
5201 HARRY HINES BLVD, HOUSE STAFF & GME
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
5201 HARRY HINES BLVD, HOUSE STAFF & GME
DALLAS, TX 75235
Nurse Practitioner (Neonatal)
5201 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Gastroenterology)
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
5201 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Women's Health)
5201 HARRY HINES BLVD
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
5201 HARRY HINES BLVD, HOUSE STAFF & GME
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235

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 Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1194745877. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kevin Johnson located?

Kevin Johnson practices at 5201 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (817) 343-0431.

What is Kevin Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Johnson enrolled in Medicare?

Yes. Kevin 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 Kevin Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Johnson was last updated on March 7, 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.