Kirk H Johnson, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

30514 Issued in SC

Practice address

22 Bethea Dr
Hilton Head Island, SC 29926-4702

Phone

(843) 682-7480

Fax

(843) 681-9169

NPI assigned

May 11, 2006

Last updated

Apr 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

79.72 of 100Reported as group

Quality

63.11

Promoting interoperability

100

Improvement activities

40

Cost

69.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirk.johnson.p23@direct.tenet.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hilton Head Regional Physician Group LLC

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1548021694
  Medicare reassignment NPD
• Kirk H. Johnson, MD, PC

  • Orthopaedic Surgery Physician
  • Worcester, MA
  • NPI 1215041827
  NPD (past) Authorized official
• Hilton Head Regional Physician Group LLC

  dba Wound Healing Center

  • Surgery Physician
  • Bluffton, SC
  • NPI 1295596708
  NPD
• Orthopedic Associates of the Lowcountry, LLC

  dba Premier Spine of the Carolinas

  • Orthopaedic Surgery Physician
  • Hilton Head, SC
  • NPI 1528292638
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1326098385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BETHEA DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264702",
            "telephone_number": "843-682-7480",
            "fax_number": "843-681-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BETHEA DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264702",
            "telephone_number": "843-682-7480",
            "fax_number": "843-681-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIRK",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "047281",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "30514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162388",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003108702",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5241",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Brooke Johnson
• Brooke Lauren Johnson, OTR
• Bruce Rob Johnson, D.C.
• Cameron Johnson, PT, DPT
• John Michael Johnson, OD
• Matthew Tyler Johnson, PT, DPT, ATC
• Megan L Johnson, RPH
• Wayne Eric Johnson, MD
• Carolyn Jones
• Jay M Kalan, MD

• Orthopaedic Surgery Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.