KENNETH M JOHNSON M.D.
NPI 1366486458
Emergency Medicine in Green Bay, WI

Q: What is Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1366486458. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Kenneth 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 Kenneth Johnson was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 16, 2006PECOS Enrolled

94.61/100

CMS Quality Rating

1726 SHAWANO AVE, GREEN BAY, WI 54303(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2021, Apr 20, 2018 (2 updates tracked since 2018).

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About Kenneth M Johnson M.d. NPPES

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

KENNETH M JOHNSON M.D. (NPI 1366486458) is an individual emergency medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (53595-020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1366486458

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKENNETH M JOHNSONCredential: M.D.

Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3216

Mailing Address111 E Wisconsin AveMilwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755

Phone(414) 290-6720

Fax(414) 290-6755

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1366486458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 53595-020✔ Licensed in IL · 036-078597

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.

1726 SHAWANO AVE, Green Bay, WI 54303

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1900 W Clairemont AveEau Claire, WI 54701-6122 · Phone (414) 290-6720 · Fax (414) 290-6755

Location 2835 S Van Buren StGreen Bay, WI 54301-3526 · Phone (414) 290-6720 · Fax (414) 290-6755

Location 33100 Superior AveSheboygan, WI 53081-1948 · Phone (414) 290-6720 · Fax (414) 290-6755

Location 4323 S 18th AveSturgeon Bay, WI 54235-1401 · Phone (414) 290-6720 · Fax (414) 290-6755

Location 52661 County Highway IChippewa Falls, WI 54729-5407 · Phone (414) 290-6720 · Fax (414) 290-6755

Other Identifiers 8

Other010056900WI · Medicare Railroad

Medicaid32019000WI

Other930080950WI · Medicare Railroad

Other930077765WI · Medicare Railroad

Other930070593WI · Medicare Railroad

Other930106598WI · Medicare Railroad

Medicaid104161654MI

Other930079989WI · Medicare Railroad

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth M Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%136 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JUNHONG PACE NP

Nurse Practitioner (Family)