Active NPI 1114100344 Individual Practitioner Female Practitioner

Kimberly Johnson

Physician Assistant • State College, PA

Professional Overview & Biography Verified Profile Summary

Kimberly Johnson is a registered healthcare professional specializing in Physician Assistant in State College, PA. Practice services are available at 1850 E PARK AVE STE 103 under active NPI credentials.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1850 E Park Ave Ste 103
Cema Er

State College, PA 168036706

Telephone 8142317000

Associated Practice Facility / Clinic

🏢 Mount Nittany Medical Center Facility NPI 1730173154

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in State College, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.0 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

99 Specialists

Practicing in State College, PA (8068 Statewide)

Telehealth Adoption Rate

13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.3% 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	69	66	$48.00	$6.43
99285 Emergency department visit for life threatening or functioning severity	68	66	$796.41	$139.96
99284 Emergency department visit with moderate level of medical decision making	19	19	$472.00	$98.12
99291 Critical care, first 30-74 minutes	14	14	$1027.14	$171.31
93042 Interpretation and report of electrical activity of heart using 1-3 leads	13	13	$40.00	$5.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	78	78	$595.36	$146.31
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	56	53	$44.52	$6.67
99284 Emergency department visit with moderate level of medical decision making	15	15	$401.07	$96.48
99291 Critical care, first 30-74 minutes	13	13	$886.00	$176.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	119	116	$711.77	$147.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	45	$35.00	$6.76
99284 Emergency department visit with moderate level of medical decision making	32	32	$312.25	$102.26
93042 Interpretation and report of electrical activity of heart using 1-3 leads	13	13	$53.00	$5.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	116	116	$722.81	$149.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	56	55	$35.00	$6.88
99284 Emergency department visit with moderate level of medical decision making	51	50	$286.55	$103.13
99283 Emergency department visit with low level of medical decision making	12	11	$327.00	$61.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	65	65	$247.02	$103.11
99285 Emergency department visit for life threatening or functioning severity	57	57	$715.70	$149.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	41	35	$33.98	$7.21
99291 Critical care, first 30-74 minutes	13	13	$981.15	$189.11
99283 Emergency department visit with low level of medical decision making	11	11	$381.73	$55.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	76	75	$261.13	$99.48
99285 Emergency department visit for life threatening or functioning severity	74	73	$790.70	$146.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	37	37	$30.43	$7.12
99283 Emergency department visit with low level of medical decision making	18	18	$319.50	$52.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	99	98	$652.78	$143.36
99284 Emergency department visit with moderate level of medical decision making	41	40	$366.37	$98.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	39	$28.02	$6.98
99283 Emergency department visit with low level of medical decision making	18	18	$296.22	$51.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	121	114	$631.00	$145.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	50	48	$28.00	$7.08
99284 Emergency department visit with moderate level of medical decision making	36	32	$423.00	$98.69
99283 Emergency department visit with low level of medical decision making	21	21	$283.00	$52.02

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA055075

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

Seth Canner , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033220959

Certified Registered Nurse Anesthetist

Heather Walker , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043558737

Certified Registered Nurse Anesthetist

Dr. William Justice , MD

Anesthesiology

NPI 1053336180

Doctor of Medicine (M.D.)

Dr. Megan Waite , DNP, FNP-C

Nurse Practitioner - Family

NPI 1083436794

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Brynn Dunkleberger , MPAS, PA-C

Physician Assistant - Medical

NPI 1093588097

MPAS, Physician Assistant (Certified)

Dr. Mary Fisher , MD

Radiology - Diagnostic Radiology

NPI 1093797821

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 26, 2021

Registered at 1850 E PARK AVE STE 103, CEMA ER, STATE COLLEGE, PA 168036706 (Tel: 8142317000)

✅

NPI Profile Active May 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2013

Registered at 1850 E PARK AVE STE 103, CEMA, ER, STATE COLLEGE, PA 168036706 (Tel: 8142317000)

📍

Updated Business Mailing Address May 16, 2013

Registered at 301 GREGOR WAY, STATE COLLEGE, PA 168017095 (Tel: 7174220648)

👤

Provider Name / Credentials Updated May 16, 2013

Recorded as KIMBERLY JOHNSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2013

Physician Assistant (License #MA055075 in PA)

🟢

Initial NPI Registration & Enumeration December 11, 2007

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: 1114100344

Entity Type:

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

Enumeration Date: December 11, 2007

Last Update: June 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 Gregor Way

State College, PA 168017095

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.