DR. KEITH MICHAEL JOHNSON (DC) – Chiropractor, NPI 1568553147

DR. KEITH MICHAEL JOHNSON (DC) is a healthcare provider. based in Maple grove, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 1844 (MN). The NPI Number for DR. KEITH MICHAEL JOHNSON (DC) is 1568553147

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH MICHAEL JOHNSON (DC)
NPI
1568553147
Phone
(763) 420-4242
Address
13700 83RD WAY N
Enumeration Date
27 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7634204242
Graduation Year
1982 (44 years ago)
PAC ID
4880780758
Group Practice PAC ID
9436245305
Professional Enrollment ID
I20120126000596
Address ID
MN553697015MA13700NXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for DR. KEITH MICHAEL JOHNSON (DC)

  • 13700, 83rd Way North, Rice Lake Plaza, Maple Grove, Hennepin County, Minnesota, 55369, United States

    #200

    MAPLE GROVE, MN 553697015

    Phone: (763) 420-4242

    Fax: (763) 494-0782

    Mailing address matches the actual address.

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 $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

1

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120126000596IChiropracticMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions55053$0
98940Chiropractic manipulative treatment, 1-2 spinal regions12011$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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Provider's Procedures

DR. KEITH MICHAEL JOHNSON (DC) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMN98940Chiropractic manipulative treatment, 1-2 spinal regions12813

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436245305View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

How do payers reference DR. KEITH MICHAEL JOHNSON (DC)?
For DR. KEITH MICHAEL JOHNSON (DC), use NPI 1568553147 as the unique 10-digit identifier.
Active or inactive — what applies to DR. KEITH MICHAEL JOHNSON (DC)?
You should see DR. KEITH MICHAEL JOHNSON (DC) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. KEITH MICHAEL JOHNSON (DC)?
At a glance, DR. KEITH MICHAEL JOHNSON (DC) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KEITH MICHAEL JOHNSON (DC)?
Directory geography for DR. KEITH MICHAEL JOHNSON (DC) centers on Maple Grove, Minnesota.
Does DR. KEITH MICHAEL JOHNSON (DC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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