KELLY JOHNSON – Physician Assistant, NPI 1720408172
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KELLY JOHNSON
301 S 320TH ST
FEDERAL WAY, WA 980035200
Phone: (253) 874-7000
Type: Location
401 CASTLE CREEK RD STE 2100
ASPEN, CO 816111159
Phone: (970) 476-1100
Fax: (970) 479-5835
Type: Location
301 S 320th St
Federal Way, WA 980035200
Phone: (253) 874-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($42).
Total Amount
$115
General + Research + Ownership
Payments
4
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $42 |
| Bioventus LLC | $29 |
| Smith+Nephew, Inc. | $23 |
| Avanos Medical | $22 |
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: 2016-12-28
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 |
|---|---|---|---|---|
| I20161228000143 | I | Physician Assistant | CO | 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 | 51 | 48 | $0 |
| 73501 | X-ray of hip, 1 view | 29 | 26 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 28 | 23 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 22 | 21 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 17 | 15 | $0 |
Insurance plans in this area (ZIP 98003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Orthopedic Surgery | CO | |
| Physician Assistant | CO | |
| Orthopedic Surgery | FL | |
| Physician Assistant | CO | |
| Orthopedic Surgery | PA | |
| Physician Assistant | NY | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| - | CO |
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