Keaton Johnson, PA-C
NPI 1508350539 · Physician Assistant · Tacoma, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keaton Johnson, PA-C is a Physician Assistant provider in Tacoma, WA (NPI 1508350539).
Provider details
- NPI number
- 1508350539
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
199 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 72 | $77 |
| Automated Urinalysis Test81003 | 27 | $2 |
| X-Ray of Chest, 2 Views71046 | 23 | $29 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 | $144 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 19 | $109 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 25 | 25 |
| Fluconazole | 18 | 16 |
| Doxycycline Hyclate | 13 | 12 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 13 | 11 |
| Cephalexin | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 650 Joel DrFort Campbell, KY 42223-5318Phone: (270) 798-8400
Registry dates
- Enumerated
- 2018-06-22
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Frequently asked questions
- What is Keaton Johnson's NPI number?
- Keaton Johnson's National Provider Identifier (NPI) is 1508350539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keaton Johnson's specialty?
- Keaton Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keaton Johnson located?
- Keaton Johnson's practice location on file with NPPES is 9040 Jackson Ave, Tacoma, WA 98431-5318.
- What is Keaton Johnson's phone number?
- The practice phone number listed in the NPPES registry for Keaton Johnson is (253) 968-1110.
- Does Keaton Johnson accept Medicare?
- Keaton Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keaton Johnson's NPI active?
- Yes — Keaton Johnson's NPI (1508350539) is active in the NPPES registry as of the last update on 2021-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.