KENNETH M JOHNSON (M.D.) – Emergency Medicine Physician, NPI 1366486458
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNETH M JOHNSON (M.D.)
900 W Clairemont Ave
Eau Claire, WI 547016122
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
835 S Van Buren St
Green Bay, WI 543013526
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
3100 Superior Ave
Sheboygan, WI 530811948
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
323 S 18th Ave
Sturgeon Bay, WI 542351401
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
2661 County Highway I
Chippewa Falls, WI 547295407
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
Chase Tower, 111, East Wisconsin Avenue, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
MILWAUKEE, WI 532024815
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Mailing
Saint Mary's Hospital Medical Center, 1726, Shawano Avenue, Green Bay, Brown County, Wisconsin, 54303, United States
GREEN BAY, WI 543033216
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Esperion Therapeutics, Inc. ($20).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Esperion Therapeutics, Inc. | $20 |
| E.R. Squibb & Sons, L.L.C. | $17 |
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: 2004-10-12
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 |
|---|---|---|---|---|
| I20041012000289 | I | Emergency Medicine | WI | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 63 | 62 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 41 | 40 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 31 | 31 | $0 |
Insurance plans in this area (ZIP 54701)
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Group practice members
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