DR. KIM JOHNSON D.O.
NPI 1922058361
Obstetrics & Gynecology in Escanaba, MI

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
3409 LUDINGTON ST, SUITE 204, ESCANABA, MI 49829(906) 786-1356(906) 789-4503 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kim Johnson D.o. NPPES

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

DR. KIM JOHNSON D.O. (NPI 1922058361) is an individual obstetrics & gynecology provider in Escanaba, Michigan, licensed in Michigan (5101013033) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Northeastern Vermont Regional Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1922058361
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KIM JOHNSONCredential: D.O.
Location Address3409 LUDINGTON ST, SUITE 204Escanaba, MI 49829-4212
Mailing Address3409 Ludington St, Suite 204Escanaba, MI 49829-4212 · (906) 786-1356 · Fax (906) 789-4503
Fax(906) 789-4503
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 10, 2006
Last NPPES UpdateMarch 31, 2010
NPI 1922058361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 5101013033
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3409 LUDINGTON ST, Escanaba, MI 49829

Other Names 1

Former Name (1)Dr. Kim Thornton D.o.

Other Identifiers 3

Medicare PINB17603012
Other5211399Bcbs
Medicaid1922058361MI

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

Dr. Kim Johnson D.o. 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 ID1456431881
PECOS Enrollment IDI20200319002067
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.

Hospital Affiliations CMS Care Compare

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

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49829 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Surgery
3409 LUDINGTON ST, SUITE 206
ESCANABA, MI 49829
Clinic/Center (Rural Health)
3409 LUDINGTON ST
ESCANABA, MI 49829
Nurse Practitioner (Family)
3409 LUDINGTON ST, SUITE 100
ESCANABA, MI 49829
Orthopaedic Surgery
3409 LUDINGTON ST, SUITE 200
ESCANABA, MI 49829
Family Medicine
3409 LUDINGTON ST, SUITE 104
ESCANABA, MI 49829
Family Medicine
3409 LUDINGTON ST, SUITE 104
ESCANABA, MI 49829
Physician Assistant
3409 LUDINGTON ST, SUITE 100
ESCANABA, MI 49829
Surgery
3409 LUDINGTON ST, SUITE 206
ESCANABA, MI 49829

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 Kim Johnson's NPI number?

The NPI number for Kim Johnson is 1922058361. It was assigned to this individual provider in the NPPES registry on May 10, 2006. The provider is also known as Dr. Kim Thornton D.O..

Where is Kim Johnson located?

Kim Johnson practices at 3409 Ludington St Suite 204, Escanaba, MI 49829. The listed phone number is (906) 786-1356.

What is Kim Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kim Johnson enrolled in Medicare?

Yes. Kim 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 Kim Johnson accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Kim 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 Kim Johnson affiliated with any hospitals?

According to CMS data, Kim Johnson is affiliated with Northeastern Vermont Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kim Johnson was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.