DR. KIMBERLY SUE JOHNSON M.D.
NPI 1467682971
Radiology - Diagnostic Radiology in 49684 Traverse City, Mi (grand Traverse), MI

Active since July 17, 2009PECOS EnrolledAccepts Medicare Assignment
1105 SIXTH STREET, SUITE#100, 49684 TRAVERSE CITY, MI (GRAND TRAVERSE), MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Sue Johnson M.d. NPPES

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

DR. KIMBERLY SUE JOHNSON M.D. (NPI 1467682971) is an individual diagnostic radiology provider in 49684 Traverse City, Mi (grand Traverse), Michigan, licensed in Michigan (4301094869) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of Michigan State University College Of Human Medicine (2009).

NPPES Registry Identity

NPI1467682971
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KIMBERLY SUE JOHNSONCredential: M.D.
Location Address1105 SIXTH STREET, SUITE#10049684 Traverse City, Mi (grand Traverse), MI 49684
Mailing AddressPo Box 30516, Dept#9516Lansing, MI 48909-7919 · (231) 935-0497
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2009
Enumeration DateJuly 17, 2009
Last NPPES UpdateMay 16, 2022
NPPES CertifiedMay 16, 2022
NPI 1467682971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301094869
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1105 SIXTH STREET, 49684 Traverse City, Mi (grand Traverse), MI 49684

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 Sue Johnson M.d. 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 ID4082837604
PECOS Enrollment IDI20140528001305
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 36

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
716 services716 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
713 services713 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
597 services597 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
596 services596 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
268 services259 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
137 services130 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%1,112 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%482 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
94%71 patients
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 5

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

Radiology (Radiation Oncology)
1105 SIXTH STREET
TRAVERSE CITY, MI 49684
Physician Assistant
1105 SIXTH STREET
TRAVERSE CITY, MI 49684
Counselor (Professional)
1105 SIXTH STREET, MUNSON BEHAVIORAL HEALTH SERVICES
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH STREET
TRAVERSE CITY, MI 49684
Counselor
1105 SIXTH STREET, MUNSON MEDICAL CENTER
TRAVERSE CITY, MI 49684

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 Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1467682971. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 1105 Sixth Street Suite#100, 49684 Traverse City, Mi (grand Traverse), MI 49684. The listed phone number is (231) 935-5000.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly 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 Kimberly Johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kimberly 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.

Is Kimberly Johnson affiliated with any hospitals?

According to CMS data, Kimberly Johnson is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Cadillac Hospital, Munson Medical Center, Munson Healthcare Otsego Memorial Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on May 16, 2022. 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.