KIMBERLY MCBRIDE JOHNSON (P.A.) – Surgical Physician Assistant, NPI 1033467287
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for KIMBERLY MCBRIDE JOHNSON (P.A.)
PO BOX 7687
COLUMBIA, MO 652057687
Phone: (573) 882-2259
Type: Mailing
ONE HOSPITAL DRIVE
COLUMBIA, MO 652120001
Phone: (573) 882-4909
Fax: (573) 884-5184
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| La Jolla Pharmaceutical Company | $26 |
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: 2015-10-27
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 |
|---|---|---|---|---|
| I20151027000388 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 100 | 97 | $0 |
| 99292 | Critical care, each additional 30 minutes | 82 | 51 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 65205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 23 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| Physician Assistant | MA | |
| Certified Nurse Midwife (Cnm) | MA | |
| Nurse Practitioner | MA | |
| Thoracic Surgery | MA | |
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| - | MA | |
| General Surgery | MA | |
| Nurse Practitioner | MA | |
| Radiation Oncology | MA |
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