DR. KIMBERLY SUE JOHNSON (M.D.) – Diagnostic Radiology Physician, NPI 1467682971
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for DR. KIMBERLY SUE JOHNSON (M.D.)
PO BOX 30516
DEPT#9516
LANSING, MI 489097919
Phone: (231) 935-0497
Type: Mailing
1105 SIXTH STREET
SUITE#100
49684 TRAVERSE CITY, MI (GRAND TRAVERSE), MI 49684
Phone: (231) 935-5000
Type: Location
3400, North Center Road, Saginaw Charter Township, Carrollton Township, Saginaw County, Michigan, 48603, United States
SUITE 400
SAGINAW, MI 486037919
Phone: (989) 753-9000
Type: Mailing
McLaren Northern Michigan, 416, Connable Avenue, Petoskey, Emmet County, Michigan, 49770, United States
PETOSKEY, MI 497702212
Phone: (312) 487-4180
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $125 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140528001305 | I | Diagnostic Radiology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 1,666 | 1,666 | $0 |
| 77063 | Screening 3d breast mammography | 1,392 | 1,392 | $0 |
| 71045 | X-ray of chest, 1 view | 357 | 325 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 173 | 166 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 127 | 125 | $0 |
Insurance plans in this area (ZIP 48909)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 71010 | X-ray of chest, 1 view, front | 112 | 102 |
| DIAGNOSTIC RADIOLOGY | MI | 73562 | X-ray of knee, 3 views | 114 | 80 |
| DIAGNOSTIC RADIOLOGY | MI | 73630 | X-ray of foot, minimum of 3 views | 28 | 26 |
| DIAGNOSTIC RADIOLOGY | MI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 25 | 24 |
| DIAGNOSTIC RADIOLOGY | MI | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| - | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology, Interventional Radiology | NC | |
| - | MI | |
| Interventional Radiology | MI | |
| Diagnostic Radiology | MI |
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