KIMBERLY ZANETA JOHNSON M.D.
NPI 1710212816
Family Medicine in Concord, NC

Active since October 07, 2009PECOS Enrolled
101 CABARRUS AVE E STE 200, CONCORD, NC 28025(888) 849-7379(855) 857-7333 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Zaneta Johnson M.d. NPPES

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

KIMBERLY ZANETA JOHNSON M.D. (NPI 1710212816) is an individual family medicine provider in Concord, North Carolina, licensed in North Carolina (2014-02072) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710212816
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY ZANETA JOHNSONCredential: M.D.
Location Address101 CABARRUS AVE E STE 200Concord, NC 28025-3781
Mailing Address101 Cabarrus Ave E Ste 200Concord, NC 28025-3781 · (888) 849-7379 · Fax (855) 857-7333
Fax(855) 857-7333
Sole ProprietorYes
Enumeration DateOctober 7, 2009
Last NPPES UpdateJune 24, 2019
NPI 1710212816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 2014-02072 Licensed in SC · MD 34407
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 58-003244 (OH)
101 CABARRUS AVE E STE 200, Concord, NC 28025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Zaneta Johnson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%159 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
89%120 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%159 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%185 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
74%108 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%133 patients1/55-star benchmark: 100%
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 20

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

Nurse Practitioner (Family)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Nurse Practitioner (Adult Health)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Nurse Practitioner (Family)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Social Worker (Clinical)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025
Nurse Practitioner (Family)
101 CABARRUS AVE E STE 200
CONCORD, NC 28025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710212816, enumerated as an "individual" on October 07, 2009.

The provider is located at 101 CABARRUS AVE E STE 200 CONCORD, NC 28025 and the phone number is (888) 849-7379.

Family Medicine with taxonomy code 207Q00000X.