Active NPI 1568496990 Individual Practitioner Female Practitioner

Jerrilyn Johnson , PA-C

Physician Assistant • Kenosha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jerrilyn Johnson, PA-C is a certified Physician Assistant practicing in Kenosha, WI. With approximately 28 years of clinical experience since completing medical education in 1998, Jerrilyn Johnson delivers high-quality medical care to the local community at 8501 75TH ST.

Jerrilyn Johnson is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8501 75th St
Suite J

Kenosha, WI 531427602

Telephone 2628984400

Fax 2627646157

Associated Practice Facility / Clinic

🏢 Forefront Dermatology, S.c. Facility NPI 1477001956

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kenosha, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +13.4 yrs vs City Avg

City Avg: 14.6 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Kenosha, WI (3517 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (28 Years) 28 Yrs

Kenosha Specialty Average (14.6 Years) 14.6 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
17003 Destruction of precancer skin growth, 2-14 growths	430	71	$84.00	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	306	213	$263.00	$74.65
17000 Destruction of skin growth	179	123	$303.63	$44.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	121	$372.00	$104.77
11102 Tangential biopsy of single skin lesion	174	145	$378.00	$77.94
11103 Biopsy of related skin growth, each additional growth	82	50	$205.00	$41.20
17110 Destruction of up to 14 skin growths	79	54	$419.00	$93.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$147.53	$46.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$474.00	$136.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$321.00	$90.62
11104 Punch biopsy, first skin growth	17	17	$475.00	$102.49
69100 Biopsy of ear	15	14	$677.59	$49.38
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	13	$258.55	$60.36
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$223.46	$59.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	434	77	$84.00	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	253	184	$263.00	$72.19
17000 Destruction of skin growth	201	126	$303.63	$41.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	112	$372.00	$102.45
11102 Tangential biopsy of single skin lesion	167	130	$378.00	$76.99
11103 Biopsy of related skin growth, each additional growth	90	45	$205.00	$39.80
17110 Destruction of up to 14 skin growths	64	47	$419.00	$88.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	45	$147.53	$44.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$321.00	$86.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$474.00	$131.10
11104 Punch biopsy, first skin growth	15	14	$475.00	$101.27
69100 Biopsy of ear	11	11	$677.59	$63.57
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$223.46	$57.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	333	54	$73.88	$5.55
99213 Established patient office or other outpatient visit, typically 15 minutes	225	158	$188.52	$72.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	111	$273.20	$103.56
17000 Destruction of skin growth	130	88	$303.63	$44.68
11102 Tangential biopsy of single skin lesion	118	99	$286.83	$79.85
11103 Biopsy of related skin growth, each additional growth	59	30	$154.71	$41.53
17110 Destruction of up to 14 skin growths	54	39	$341.58	$92.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	46	$147.53	$45.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$351.63	$134.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$291.03	$89.88
11104 Punch biopsy, first skin growth	21	20	$360.81	$101.17
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$223.46	$58.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	305	57	$73.88	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	221	154	$188.52	$74.78
17000 Destruction of skin growth	136	93	$303.63	$42.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	73	$273.20	$105.20
11102 Tangential biopsy of single skin lesion	110	94	$286.83	$82.43
17110 Destruction of up to 14 skin growths	79	44	$341.58	$91.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	56	$147.53	$46.28
11103 Biopsy of related skin growth, each additional growth	59	31	$154.71	$43.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$291.03	$90.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$351.63	$137.61
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$223.46	$59.70
11104 Punch biopsy, first skin growth	12	12	$360.81	$107.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	303	49	$73.88	$5.06
99213 Established patient office or other outpatient visit, typically 15 minutes	269	181	$188.52	$61.27
11102 Tangential biopsy of single skin lesion	123	98	$286.83	$77.76
17000 Destruction of skin growth	120	84	$303.63	$42.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	76	$273.20	$90.11
11103 Biopsy of related skin growth, each additional growth	62	38	$154.71	$44.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	52	$147.53	$37.29
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	47	11	$235.00	$95.97
17110 Destruction of up to 14 skin growths	45	37	$341.58	$91.48
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$223.46	$61.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$291.03	$86.71
11104 Punch biopsy, first skin growth	20	19	$360.81	$97.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	370	61	$73.88	$4.50
99213 Established patient office or other outpatient visit, typically 15 minutes	316	204	$188.52	$60.65
11102 Tangential biopsy of single skin lesion	149	131	$286.83	$77.19
17000 Destruction of skin growth	147	113	$303.63	$44.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	120	$147.53	$36.88
17110 Destruction of up to 14 skin growths	85	56	$341.58	$90.38
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$223.46	$62.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	55	$273.20	$88.63
11103 Biopsy of related skin growth, each additional growth	57	40	$154.71	$43.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$291.03	$88.12
11104 Punch biopsy, first skin growth	24	21	$360.81	$101.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	355	59	$73.88	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	288	192	$188.52	$59.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	142	$147.53	$35.62
11100 Biopsy of single growth of skin and/or tissue	153	137	$330.48	$80.49
17000 Destruction of skin growth	141	110	$303.63	$43.34
17110 Destruction of up to 14 skin growths	94	65	$341.58	$90.08
11101 Biopsy of each additional growth of skin and/or tissue	91	60	$196.50	$26.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	42	$273.20	$87.82
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	59	13	$172.87	$92.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$291.03	$87.12
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$223.46	$60.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	423	76	$73.88	$4.45
99213 Established patient office or other outpatient visit, typically 15 minutes	326	205	$188.52	$59.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	214	175	$147.53	$35.38
11100 Biopsy of single growth of skin and/or tissue	171	151	$330.48	$78.38
17000 Destruction of skin growth	162	115	$303.63	$43.73
17110 Destruction of up to 14 skin growths	106	65	$341.58	$89.02
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	98	19	$172.87	$57.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	18	$16.33	$1.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	47	$273.20	$87.86
11101 Biopsy of each additional growth of skin and/or tissue	59	44	$196.50	$26.34
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$223.46	$60.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$291.03	$85.92
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$179.29	$35.54
17004 Destruction of precancer skin growth, 15 or more growths	24	17	$734.31	$121.54
69100 Biopsy of ear	12	11	$677.59	$54.33

Medical Specialties & State Licenses

CMS Verified: 2021-09-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1069-23

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License WI 1069

Definition to come...

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

1400 Scheuring Rd, De Pere, WI 541151067

Phone: 9209640229

Forefront Dermatology Sc

1245 Cheyenne Ave, Grafton, WI 530249323

Phone: 2623772222

Secondary Practice Locations

9020 76th St Ste E

Pleasant Prairie, WI 531581976

Phone: 2626978030

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. David Whitney , MD

Dermatology - Procedural Dermatology

NPI 1013983618

Doctor of Medicine (M.D.)

Jessica Bahr , PA-C

Physician Assistant

NPI 1063767226

Physician Assistant (Certified)

Elena Giese , APNP

Nurse Practitioner - Family

NPI 1083183297

Advanced Practice Nurse Prescriber

Lidia Pomaville , PA-C

Physician Assistant

NPI 1144595174

Physician Assistant (Certified)

John Claussen , PA-C

Physician Assistant

NPI 1194814376

Physician Assistant (Certified)

Dr. James Franks , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1205974847

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2021

Physician Assistant (License #1069 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2021

Physician Assistant (License #1069-23 in WI)

✅

NPI Profile Active October 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2016

Registered at 8501 75TH ST, SUITE J, KENOSHA, WI 531427602 (Tel: 2628984400)

📍

Updated Business Mailing Address October 20, 2016

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639146)

👤

Provider Name / Credentials Updated October 20, 2016

Recorded as JERRILYN JOHNSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2016

Physician Assistant (License #1069 in WI)

🟢

Initial NPI Registration & Enumeration July 10, 2006

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: 1568496990

Entity Type:

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

Enumeration Date: July 10, 2006

Last Update: September 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639146

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

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