NPPES file of Aug 9, 2026

Kimberly Johnson

Physician Assistant · State College, PA

Kimberly Johnson is a physician assistant with a practice address in State College, Pennsylvania, and NPI 1114100344, issued on Dec 11, 2007. Check the license (Pennsylvania MA055075, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114100344
Name
Kimberly Johnson
Primary taxonomy
Physician Assistant 363A00000X
License number
MA055075 PA
Self-reported in NPPES; status is on the state search
Practice location
1850 E Park Ave Ste 103, State College, PA 16803
Phone
(814) 231-7000
Enumerated
Dec 11, 2007
Record last updated
Jun 15, 2021 (not updated in 5 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Kimberly Johnson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license MA055075
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

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90% fewer Medicare Part D claims than the average physician assistant in 2024

81 Medicare Part D claims for 53 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.

  1. Kimberly Johnson81
  2. Specialty average830

Most prescribed

  1. Amoxicillin-Clavulanate Potass11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 46.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score17.4
  2. Costout of 100 · 30%51.5
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Kimberly Johnson among 8,020 physician assistant records in Pennsylvania

Kimberly Johnson is one of 8,020 physician assistant records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 15% of them.

  • NPI issued2007 · 15% of these records are older, 80% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileNo · 66% of these records are
  • Record last updated2021 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

99 physician assistant records list a practice address in State College

They are 99 of the 1,543 NPPES records with a practice address in State College, and 8,020 physician assistant records in Pennsylvania.

The 8 physician assistant records with the nearest ZIP codes

  1. Kimberly Andres, PACState College, PA 168031568674513
  2. Scott Butler, PA-CState College, PA 168031194725812
  3. Victoria Case, PA-CState College, PA 168031205824075
  4. Dennis Clark, PA-CState College, PA 168031689863805
  5. Annamarie Costlow, PA-CState College, PA 168031437176542
  6. Bryan Custer, PA-CState College, PA 168031922062231
  7. Jennifer Hosband, PAState College, PA 168031356334981
  8. Eric Kroner, PA-CState College, PA 168031730149998

Common questions

What is Kimberly Johnson's NPI number?

Kimberly Johnson's National Provider Identifier (NPI) is 1114100344, issued on Dec 11, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Kimberly Johnson located?

The NPPES record lists a practice address at 1850 E Park Ave Ste 103, State College, PA, 16803. Phone: (814) 231-7000. Providers update this record themselves, so call before visiting.

How can I verify Kimberly Johnson's license?

NPPES lists Pennsylvania license number MA055075, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

How much does Kimberly Johnson prescribe under Medicare Part D?

In 2024, Kimberly Johnson had 81 Medicare Part D claims for 53 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Kimberly Johnson's MIPS final score?

The 2023 MIPS final score is 46.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.