MR. KEITH PATRICK JOHNSON MD
NPI 1487616967
Orthopaedic Surgery in Glen Rock, NJ

Active since April 03, 2006Opted out of Medicare · through Jan 1, 2027
85 HARRISTOWN ROAD, SUITE 103, GLEN ROCK, NJ 07452(844) 366-8800(844) 366-8900 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keith Patrick Johnson Md NPPES

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

MR. KEITH PATRICK JOHNSON MD (NPI 1487616967) is an individual orthopaedic surgery provider in Glen Rock, New Jersey, licensed in New Jersey (25MA07819000) and active in the NPI registry since April 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487616967
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. KEITH PATRICK JOHNSONCredential: MD
Location Address85 HARRISTOWN ROAD, SUITE 103Glen Rock, NJ 07452
Mailing Address85 Harristown Road, Suite 103Glen Rock, NJ 07452 · (844) 366-8800 · Fax (844) 366-8900
Fax(844) 366-8900
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJanuary 19, 2016
NPI 1487616967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NJ · 25MA07819000
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedSpecialistTaxonomy 174400000X · License 25MA07819000 (NJ)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 25MA07819000 (NJ)
85 HARRISTOWN ROAD, Glen Rock, NJ 07452

Other Identifiers 2

Medicare UPINI26748
Medicare ID-Type Unspecified089241NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Keith Patrick Johnson Md 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 January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07452 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Keith Johnson's NPI number?

The NPI number for Keith Johnson is 1487616967. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Keith Johnson located?

Keith Johnson practices at 85 Harristown Road Suite 103, Glen Rock, NJ 07452. The listed phone number is (844) 366-8800.

What is Keith Johnson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Keith Johnson enrolled in Medicare?

No. Keith Johnson has opted out of Medicare through January 1, 2027. 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 Keith Johnson was last updated on January 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.