KELLY ROSE JOHNSON
NPI 1427410281
Surgery in Bronx, NY

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1521 JARRET PL, BRONX, NY 10461(718) 862-8840 Get Directions Write a Review

NPPES record last updated: April 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2022, Apr 17, 2021, Sep 3, 2016 and 1 more (4 updates tracked since 2016).

About Kelly Rose Johnson NPPES

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

KELLY ROSE JOHNSON (NPI 1427410281) is an individual surgery provider in Bronx, New York, licensed in New York (310107-01) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1427410281
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKELLY ROSE JOHNSON
Location Address1521 JARRET PLBronx, NY 10461-2606
Mailing Address206 Brooksite DrSmithtown, NY 11787-4443 · (845) 656-4818
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateApril 23, 20224 updates tracked since enumeration
NPPES CertifiedApril 23, 2022
NPI 1427410281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NY · 310107-01 Licensed in PA · OT017016
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1521 JARRET PL, Bronx, NY 10461

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

Kelly Rose Johnson 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 ID547556946
PECOS Enrollment IDI20210920002951
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
70 services23 patients
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.
52 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
1521 JARRET PL
BRONX, NY 10461
Nurse Practitioner (Family)
1521 JARRET PL
BRONX, NY 10461
Counselor (Addiction (Substance Use Disorder))
1521 JARRET PL
BRONX, NY 10461
Surgery (Surgical Oncology)
1521 JARRET PL
BRONX, NY 10461
Nurse Practitioner (Family)
1521 JARRET PL
BRONX, NY 10461
Social Worker
1521 JARRET PL, 2ND FLOOR
BRONX, NY 10461
Psychiatric Hospital
1521 JARRET PL, 2ND FLOOR
BRONX, NY 10461
Social Worker
1521 JARRET PL
BRONX, NY 10461

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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1427410281. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Kelly Johnson located?

Kelly Johnson practices at 1521 Jarret Pl, Bronx, NY 10461. The listed phone number is (718) 862-8840.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly Johnson enrolled in Medicare?

Yes. Kelly 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.

Is Kelly Johnson affiliated with any hospitals?

According to CMS data, Kelly Johnson is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on April 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.