KEITH ALLAN JOHNSON (PA-C) – Physician Assistant, NPI 1902829583
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for KEITH ALLAN JOHNSON (PA-C)
112 Ironstone Dr
Northumberland, PA 178578543
Phone: (570) 473-0545
Type: Location
3 Hospital Dr Ste 214
Lewisburg, PA 178379394
Phone: (570) 542-4242
Type: Location
101 Meadow Green Dr
Mifflinburg, PA 178449300
Phone: (570) 966-1122
Type: Location
7095 Westbranch Hwy Ste 1000
Lewisburg, PA 178376864
Phone: (570) 523-3006
Type: Location
412 W Market St
Middleburg, PA 178421076
Phone: (570) 837-6163
Type: Location
7095 Westbranch Hwy Ste 1100
Lewisburg, PA 178376864
Phone: (570) 524-5050
Type: Location
935 Route 522
Selinsgrove, PA 178709714
Phone: (570) 372-6102
Type: Location
98 Reitz Blvd
Lewisburg, PA 178379270
Phone: (570) 524-4443
Type: Location
964 Carpenter Rd
Milton, PA 178477527
Phone: (570) 742-2300
Type: Location
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Type: Mailing
Lewisburg, Greenbrier County, West Virginia, 24901, United States
SUITE 306
LEWISBURG, PA 178379350
Phone: (570) 522-4110
Fax: (570) 768-3911
Type: Mailing
Lewisburg Assembley of God Church, Westbranch Highway, East Buffalo Township, Union County, Pennsylvania, 17837, United States
LEWISBURG, PA 178376808
Phone: (570) 524-4141
Fax: (570) 524-5218
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 124 Open Payments records for all available years, with a total value of $2,255.
Total Amount is formed as General ($2,255) + Research ($0) + Ownership ($0) = $2,255.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($495).
Total Amount
$2,255
General + Research + Ownership
Payments
124
Total payment records
General Amount
$2,255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $495 |
| Novo Nordisk Inc | $223 |
| SHIELD THERAPEUTICS INC | $115 |
| Lilly USA, LLC | $95 |
| Astellas Pharma US Inc | $93 |
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: 2005-05-31
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 |
|---|---|---|---|---|
| I20050531000605 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 553 | 251 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 168 | 168 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 132 | 20 | $0 |
| G0008 | Administration of influenza virus vaccine | 56 | 56 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 49 | 49 | $0 |
Insurance plans in this area (ZIP 17857)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | PA | 90670 | Pneumococcal vaccine for injection into muscle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | PA | |
| Orthopedic Surgery | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| N E U R O L O G Y | PA | |
| Qualified Audiologist | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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