DR. KIMBERLY D. JOHNSON MD
NPI 1396717104
Family Medicine in Rolla, MO

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
1081 E 18TH ST, ROLLA, MO 65401(734) 262-4075(573) 426-6723 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2020, Aug 22, 2019, Jun 26, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Kimberly D. Johnson Md NPPES

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

DR. KIMBERLY D. JOHNSON MD (NPI 1396717104) is an individual family medicine provider in Rolla, Missouri, licensed in Missouri (2006002908) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (1995).

NPPES Registry Identity

NPI1396717104
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY D. JOHNSONCredential: MD
Location Address1081 E 18TH STRolla, MO 65401-2448
Mailing Address1081 E 18th StRolla, MO 65401-2448 · (573) 426-4455
Fax(573) 426-6723
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1995
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 29, 20204 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1396717104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2006002908
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1081 E 18TH ST, Rolla, MO 65401

Other Names 1

Former Name (1)Kimberly Bohlmann

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. Kimberly D. 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 ID9032186036
PECOS Enrollment IDI20060818000019
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

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.

Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Salem Memorial District Hospital

Critical Access Hospitals · Salem, MO
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261318
LocationPO Box 774,Salem, MO 65560 · Dent County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims13 services$6.08 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$65.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$19.63 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers17 claims17 services$17.48 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers21 claims119 services$2.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims34 services$107.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Acupuncturist
1081 E 18TH ST
ROLLA, MO 65401
Chiropractor
1081 E 18TH ST, SUITE A
ROLLA, MO 65401
Dentist
1081 E 18TH ST
ROLLA, MO 65401
Social Worker (Clinical)
1081 E 18TH ST
ROLLA, MO 65401
Counselor
1081 E 18TH ST
ROLLA, MO 65401
Dentist
1081 E 18TH ST
ROLLA, MO 65401
Nurse Practitioner (Family)
1081 E 18TH ST
ROLLA, MO 65401
Dentist
1081 E 18TH ST
ROLLA, MO 65401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396717104, enumerated as an "individual" on February 06, 2006.

The provider is located at 1081 E 18TH ST ROLLA, MO 65401 and the phone number is (734) 262-4075.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Kimberly Johnson is affiliated with: PHELPS COUNTY REGIONAL MEDICAL CENTER and SALEM MEMORIAL DISTRICT HOSPITAL.