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MR. KYLE PATRICK JOHNSON PA
NPI 1548720816
Physician Assistant in Santa Rosa, CA

Active since March 22, 2019PECOS Enrolled
94.62/100
CMS Quality Rating
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403(707) 576-4040 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Aug 18, 2021, Oct 17, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Kyle Patrick Johnson Pa NPPES

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

MR. KYLE PATRICK JOHNSON PA (NPI 1548720816) is an individual physician assistant in Santa Rosa, California, licensed in California (57855) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548720816
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KYLE PATRICK JOHNSONCredential: PA
Location Address30 MARK WEST SPRINGS RDSanta Rosa, CA 95403-1436
Mailing Address2351 Clay St Ste 501San Francisco, CA 94115-1931 · (866) 898-7148
Phone(707) 576-4040
Sole ProprietorNo
Enumeration DateMarch 22, 2019
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1548720816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 57855
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 MARK WEST SPRINGS RD, Santa Rosa, CA 95403
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Other Names 1

Professional Name (2)Mr. Kyle Patrick Johnson Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kyle Patrick Johnson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services71 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
40 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

SUHANA ELAMSENTHIL MD
Internal Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
DOMINIC JOSEPH PICETTI MD
Internal Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
DR. SABRINA ANN KIDD M.D.
Colon & Rectal Surgery
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
MEGAN EILEEN SOMMER BSN, RN, CCRN
Registered Nurse (Critical Care Medicine)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4500
REECE FENNING MD, MPH
Family Medicine
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
GREGORY P PENNING R.T.(R)(CT)ARRT
Radiology (Diagnostic Radiology)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
DR. NEHA GARG
Hospitalist
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000
GABRIELLE MEHANA MEGUMI STEVERSON LCSW
Social Worker (Clinical)
30 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403
Sonoma County (707) 576-4000

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 Kyle Johnson's NPI number?

The NPI number for Kyle Johnson is 1548720816. It was assigned to this individual provider in the NPPES registry on March 22, 2019. The provider is also known as Mr. Kyle Patrick Johnson PA.

Where is Kyle Johnson located?

Kyle Johnson practices at 30 Mark West Springs Rd, Santa Rosa, CA 95403. The listed phone number is (707) 576-4040.

What is Kyle Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Johnson enrolled in Medicare?

Yes. Kyle Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Johnson was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.