Active NPI 1235412982 Individual Practitioner Female Practitioner

Kelly Jackson Johnson , PA-C

Physician Assistant • Herrin, IL

Professional Overview & Biography Verified Profile Summary

Kelly Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Herrin, IL. Practice services are available at 510 LINCOLN DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, methylprednisolone acetate, 80 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 Lincoln Dr

Herrin, IL 629486334

Telephone 6189976800

Fax 6189971187

Associated Practice Facility / Clinic

🏢 Southern Illinois Orthopedic Center,llc Facility NPI 1023001377

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Herrin, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

28 Specialists

Practicing in Herrin, IL (4958 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$172.00	$71.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$172.00	$71.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	186	77	$50.00	$10.64
20610 Aspiration and/or injection of fluid from large joint	178	79	$283.37	$46.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	102	$200.00	$105.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	63	$275.00	$147.33
73564 X-ray of knee, 4 or more views	42	34	$128.00	$35.71
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$140.00	$73.95
77080 Dxa bone density measurement of hip, pelvis, spine	38	38	$325.00	$29.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$80.00	$45.09
73560 X-ray of knee, 1-2 views	31	26	$97.00	$26.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$225.00	$90.95
73502 X-ray of hip, 2-3 views	24	22	$142.00	$36.23
73030 X-ray of shoulder, minimum of 2 views	21	17	$141.00	$26.72
J1030 Injection, methylprednisolone acetate, 40 mg	13	12	$25.00	$5.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	179	82	$268.72	$43.58
J1040 Injection, methylprednisolone acetate, 80 mg	171	77	$50.00	$11.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	114	$200.00	$86.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	42	$275.00	$117.48
73564 X-ray of knee, 4 or more views	41	31	$128.00	$33.69
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$140.00	$58.89
77080 Dxa bone density measurement of hip, pelvis, spine	35	35	$325.00	$30.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$80.00	$35.34
73502 X-ray of hip, 2-3 views	34	34	$142.00	$34.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$225.00	$85.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$220.00	$113.43
73560 X-ray of knee, 1-2 views	26	15	$97.00	$25.65
73030 X-ray of shoulder, minimum of 2 views	23	17	$141.00	$25.49
J1030 Injection, methylprednisolone acetate, 40 mg	17	14	$25.00	$6.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$325.00	$132.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	154	84	$266.75	$44.08
J1040 Injection, methylprednisolone acetate, 80 mg	141	77	$50.00	$12.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	91	$200.00	$87.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	39	$275.00	$117.72
73030 X-ray of shoulder, minimum of 2 views	30	19	$145.70	$24.26
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$140.00	$59.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$80.00	$35.85
73564 X-ray of knee, 4 or more views	24	22	$128.00	$32.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$225.00	$86.96
73560 X-ray of knee, 1-2 views	18	15	$97.00	$25.02
73502 X-ray of hip, 2-3 views	16	16	$142.00	$31.81
J1030 Injection, methylprednisolone acetate, 40 mg	13	12	$26.92	$6.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	224	93	$268.13	$42.98
J1040 Injection, methylprednisolone acetate, 80 mg	206	92	$50.00	$12.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	76	$180.22	$85.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	68	$238.89	$116.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	45	$74.69	$34.58
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$122.50	$56.59
73560 X-ray of knee, 1-2 views	29	24	$97.00	$23.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$220.00	$111.74
73030 X-ray of shoulder, minimum of 2 views	23	19	$141.00	$21.81
J1030 Injection, methylprednisolone acetate, 40 mg	23	13	$25.00	$6.70
73502 X-ray of hip, 2-3 views	23	21	$132.00	$31.78
73562 X-ray of knee, 3 views	21	13	$114.00	$27.48
73564 X-ray of knee, 4 or more views	19	15	$128.00	$30.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$206.82	$85.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	294	130	$262.21	$41.68
J1040 Injection, methylprednisolone acetate, 80 mg	244	120	$50.00	$11.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	122	$160.00	$83.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	111	$69.00	$34.11
99213 Established patient office or other outpatient visit, typically 15 minutes	77	66	$105.00	$57.25
J1030 Injection, methylprednisolone acetate, 40 mg	48	38	$25.00	$5.65
73502 X-ray of hip, 2-3 views	43	38	$125.00	$30.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$166.44	$85.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$220.00	$111.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	35	$210.00	$114.89
73560 X-ray of knee, 1-2 views	33	29	$97.00	$22.94
73030 X-ray of shoulder, minimum of 2 views	32	25	$141.00	$22.26
73564 X-ray of knee, 4 or more views	27	21	$128.00	$30.23
73562 X-ray of knee, 3 views	25	15	$114.00	$27.22
73610 X-ray of ankle, minimum of 3 views	18	11	$155.00	$22.20
73110 X-ray of wrist, minimum of 3 views	17	13	$170.00	$26.89
73050 X-ray of both collar bones joints	15	14	$106.00	$27.00
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$191.00	$38.21
73565 X-ray of both knees while standing	11	11	$128.00	$27.16

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA1637

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners

John Nugent , PA-C

Physician Assistant

NPI 1033224654

Physician Assistant (Certified)

Dr. John Davis , MD

Orthopaedic Surgery

NPI 1063436756

Doctor of Medicine (M.D.)

Dr. James Davis , MD

Orthopaedic Surgery

NPI 1063516797

Doctor of Medicine (M.D.)

Jared Jones

Physical Therapist

NPI 1093486011

Dr. John Wood , MD

Orthopaedic Surgery

NPI 1154425882

Doctor of Medicine (M.D.)

Hollis Clark , PA-C

Physician Assistant

NPI 1154659894

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2017

Registered at 510 LINCOLN DR, HERRIN, IL 629486334 (Tel: 6189976800)

📍

Updated Business Mailing Address February 23, 2017

Registered at 4787 ALBEN BARKLEY DR, SUITE 103, PADUCAH, KY 420016789 (Tel: 2704429461)

👤

Provider Name / Credentials Updated February 23, 2017

Recorded as KELLY JOHNSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Physician Assistant (License #PA1637 in KY)

✅

NPI Profile Active September 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2011

Registered at 2605 KENTUCKY AVE, SUITE 103, PADUCAH, KY 420033800 (Tel: 2704429461)

📍

Updated Business Mailing Address September 20, 2011

Registered at 2605 KENTUCKY AVE, SUITE 103, PADUCAH, KY 420033800 (Tel: 2704429461)

👤

Provider Name / Credentials Updated September 20, 2011

Recorded as KELLY JOHNSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2011

Physician Assistant (License #PA1637 in KY)

🟢

Initial NPI Registration & Enumeration September 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235412982

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2011

Last Update: February 23, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4787 Alben Barkley Dr, Suite 103

Paducah, KY 420016789

Phone: 2704429461

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

⚠️ Medical Disclaimer

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