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Active NPI 1427410281 Individual Practitioner Female Practitioner

Kelly Rose Johnson

Surgery • Bronx, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Johnson is a certified Surgery practicing in Bronx, NY. With approximately 10 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2016, Kelly Johnson delivers high-quality medical care to the local community at 1521 JARRET PL.

Kelly Johnson is affiliated with Stony Brook Surgical Associates University Faculty Practice Corporati and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1521 Jarret Pl

Bronx, NY 104612606

Telephone 7188628840
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bronx, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -13.1 yrs vs City Avg
City Avg: 23.1 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
113 Specialists

Practicing in Bronx, NY (2269 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (10 Years) 10 Yrs
Bronx Specialty Average (23.1 Years) 23.1 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
70 23 $150.00 $71.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
52 36 $454.62 $137.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
28 28 $595.00 $186.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
23 23 $780.00 $253.32

Medical Specialties & State Licenses

CMS Verified: 2022-04-23
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 310107-01

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 PA OT017016

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Stony Brook Surgical Associates University Faculty Practice Corporati

255 W Montauk Hwy, Hampton Bays, NY 11946

Phone: 6317235000

Practice Associates & Co-Workers

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

9 Associated Practitioners
Jeanne Hickey , NP

Nurse Practitioner - Family

NPI 1073890455

Nurse Practitioner

Nicole Muccio , FNP

Nurse Practitioner - Family

NPI 1144874249

Family Nurse Practitioner

Dr. John Mcauliffe , MD, PhD

Surgery - Surgical Oncology

NPI 1205060068

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Amanda Bontempo , MS RD CDN

Dietitian, Registered

NPI 1255680195

MSRDCDN

Michelle Padua , FNP

Nurse Practitioner - Family

NPI 1306106356

Family Nurse Practitioner

NPI 1437653672

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 23, 2022

Registered at 1521 JARRET PL, BRONX, NY 104612606 (Tel: 7188628840)

📍
Updated Business Mailing Address April 23, 2022

Registered at 206 BROOKSITE DR, SMITHTOWN, NY 117874443 (Tel: 8456564818)

NPI Profile Active September 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2016

Registered at GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVE, DANVILLE, PA 178220001 (Tel: 5702716211)

📍
Updated Business Mailing Address September 03, 2016

Registered at 87 MOUNTAIN RD, MOUNTAIN TOP, PA 187072353 (Tel: 8456564818)

👤
Provider Name / Credentials Updated September 03, 2016

Recorded as KELLY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2016

Surgery (License #OT017016 in PA)

🟢
Initial NPI Registration & Enumeration March 22, 2016

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: 1427410281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2016
Last Update: April 23, 2022
Sole Proprietor: No

Mailing Address

206 Brooksite Dr

Smithtown, NY 117874443

Phone: 8456564818

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.