Doctor profile · Federal record
Dr. Kelly Johnson, PA-C
Physician Assistant · Herrin, IL
- NPI 1235412982
- MIPS 94.8 / 100 · 2023
- 15 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
510 Lincoln Dr
Herrin, IL 629486334
(618) 997-6800
fax (618) 997-1187 - Mailing address
-
4787 Alben Barkley Dr, Suite 103
Paducah, KY 420016789
Credentials & registration
- NPI registered
- September 2011 — 15 yrs on file
- Profile last updated
- February 23, 2017
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Kentucky #PA1637
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235412982. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$923
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 13 | 12 | $71 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 97. This provider delivers 0.1× the peer median.Frequently asked questions
What is Dr. Kelly Johnson's medical specialty?
Dr. Kelly Johnson practices Physician Assistant in Herrin, IL.
Where does Dr. Kelly Johnson practice?
Dr. Kelly Johnson practices at 510 Lincoln Dr, Herrin, IL 629486334. Office phone: 6189976800.
What is Dr. Kelly Johnson's NPI?
Dr. Kelly Johnson's National Provider Identifier (NPI) is 1235412982, issued by NPPES.
What procedures does Dr. Kelly Johnson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.