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DR. KRISTINA G. JOHNSON M.D.
NPI 1477843571
Family Medicine in Monroeville, PA

Active since April 11, 2011Opted out of Medicare · through Jul 1, 2028
93.78/100
CMS Quality Rating
4318 NORTHERN PIKE STE 204, MONROEVILLE, PA 15146(412) 203-5140(412) 356-8950 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2022, May 13, 2022, Jul 31, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Kristina G. Johnson M.d. NPPES

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

DR. KRISTINA G. JOHNSON M.D. (NPI 1477843571) is an individual family medicine provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD476881) and active in the NPI registry since April 2011. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer and is a graduate of Medical University Of South Carolina College Of Medicine (2011).

NPPES Registry Identity

NPI1477843571
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTINA G. JOHNSONCredential: M.D.
Location Address4318 NORTHERN PIKE STE 204Monroeville, PA 15146-2846
Mailing Address4318 Northern Pike Ste 204Monroeville, PA 15146-2846 · (412) 203-5140 · Fax (412) 356-8950
Phone(412) 203-5140
Fax(412) 356-8950
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011
Enumeration DateApril 11, 2011
Last NPPES UpdateFebruary 27, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1477843571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD476881
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.
4318 NORTHERN PIKE STE 204, Monroeville, PA 15146
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kristina G. Johnson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 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.
48 services37 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.
15 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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 Kristina Johnson's NPI number?

The NPI number for Kristina Johnson is 1477843571. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Kristina Johnson located?

Kristina Johnson practices at 4318 Northern Pike Ste 204, Monroeville, PA 15146. The listed phone number is (412) 203-5140.

What is Kristina Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristina Johnson enrolled in Medicare?

No. Kristina Johnson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kristina Johnson was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.