KYLE D JOHNSON MD
NPI 1588959472
Otolaryngology in West Fargo, ND

Active since June 18, 2011PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
350 23RD AVENUE E, STE 102, WEST FARGO, ND 58078(701) 235-1924(701) 235-6304 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Dec 7, 2023, Dec 14, 2020 and 3 more (6 updates tracked since 2016).

About Kyle D Johnson Md NPPES

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

KYLE D JOHNSON MD (NPI 1588959472) is an individual otolaryngology provider in West Fargo, North Dakota, licensed in North Dakota (14194) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1588959472
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameKYLE D JOHNSONCredential: MD
Location Address350 23RD AVENUE E, STE 102West Fargo, ND 58078-7402
Mailing Address350 23rd Avenue E, Ste 102West Fargo, ND 58078-7402 · (701) 235-1924 · Fax (701) 235-6304
Fax(701) 235-6304
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 18, 2011
Last NPPES UpdateSeptember 18, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1588959472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in ND · 14194
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

350 23RD AVENUE E, West Fargo, ND 58078

Secondary Practice Location 1

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-2441

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

Kyle D Johnson Md 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 ID1557681277
PECOS Enrollment IDI20160923000555
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 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
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.
35 services25 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.
31 services31 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
16 services11 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
14 services14 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Carrington Health Center

Critical Access Hospitals · Carrington, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351318
LocationPO Box 461Carrington, ND 58421 · Foster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES

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

Otolaryngology
350 23RD AVENUE E, STE 102
WEST FARGO, ND 58078

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 1588959472. It was assigned to this individual provider in the NPPES registry on June 18, 2011.

Where is Kyle Johnson located?

Kyle Johnson practices at 350 23rd Avenue E Ste 102, West Fargo, ND 58078. The listed phone number is (701) 235-1924.

What is Kyle Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kyle Johnson enrolled in Medicare?

Yes. Kyle 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 Kyle Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kyle 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 Kyle Johnson affiliated with any hospitals?

According to CMS data, Kyle Johnson is affiliated with Sanford Medical Center Fargo, Essentia Health and Carrington Health Center.

When was this NPI record last updated?

The NPPES record for Kyle Johnson was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.