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Active NPI 1578824751 Individual Practitioner Female Practitioner

Dr. Keonna D'wyette Johnson , MD

Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keonna Johnson, MD is a certified Surgery practicing in Philadelphia, PA. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Johnson delivers high-quality medical care to the local community at 3401 N BROAD ST.

Dr. Johnson is affiliated with Urgent Specialty Associates Of Texas Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3401 N Broad St

Philadelphia, PA 191405103

Telephone 2157073133
Fax 2157073945
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -6.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (14 Years) 14 Yrs
Philadelphia Specialty Average (20.6 Years) 20.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
33 22 $492.80 $117.98
99291 Critical care, first 30-74 minutes
20 16 $883.40 $214.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
20 20 $719.60 $172.02

Medical Specialties & State Licenses

CMS Verified: 2025-02-13
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD474272

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX U0604

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Urgent Specialty Associates Of Texas Pllc

500 W Medical Ctr Blvd, Webster, TX 775984220

Phone: 2813322511

Secondary Practice Locations

1 Atwell Rd

Cooperstown, NY 133261301

Phone: 6075473456

630 S Fleishel Ave

Tyler, TX 757012041

Phone: 9036065560

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003038761

Doctor of Medicine (M.D.)

NPI 1013336890

Doctor of Medicine (M.D.)

NPI 1013398528

Doctor of Medicine (M.D.)

NPI 1013934843

Doctor of Medicine (M.D.)

NPI 1013967884

Doctor of Medicine (M.D.)

NPI 1033648720

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2025

Surgery (License #U0604 in TX)

📍
Updated Practice Location August 05, 2021

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157073133)

📍
Updated Business Mailing Address August 05, 2021

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157073133)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Surgery (License #MD474272 in PA)

NPI Profile Active June 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2012

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075473456)

📍
Updated Business Mailing Address June 04, 2012

Registered at PO BOX 725, COOPERSTOWN, NY 133260725 (Tel: 6075473456)

👤
Provider Name / Credentials Updated June 04, 2012

Recorded as KEONNA JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578824751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2012
Last Update: February 13, 2025
Sole Proprietor: No

Mailing Address

3401 N Broad St

Philadelphia, PA 191405103

Phone: 2157073133

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.