Kelly Rose Johnson
NPI 1427410281ActiveIndividual· Surgery· Bronx, NY
Surgery in Bronx, New York, trained at Philadelphia College of Osteopathic Medicine (class of 2016). Mostly services rather than prescriptions: Medicare paid $33,342 for 94 patients in 2024, with only 30 Part D claims. Elucent Medical was the largest of 3 companies reporting payments in 2025, $1,893 in all, mostly travel and lodging.
Overview
| NPI | 1427410281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 22, 2016 |
| Last updated in NPPES | Apr 23, 2022 |
| Certified by provider | Apr 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 310107-01 | NY |
| Surgery | 208600000X | OT017016 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Surgical Oncology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 275 across 39 procedure codes |
| Paid by Medicare | $33,342 |
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 31 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $1,375 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Surgical Oncology |
| Telehealth | Offers telehealth |
Medical group
- Stony Brook Surgical Associates University Faculty Practice CorporatiHampton Bays, NY · 109 clinicians
Hospital affiliation
- Suny/Stony Brook University HospitalStony Brook, NY
Industry payments (Open Payments)
- 2025$1,893 · 10 payments from 3 companies
- 2024$44.14 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Elucent Medical | $1,427 | 7 |
| Thd America, Inc. | $363.07 | 2 |
| Intuitive Surgical, Inc. | $102.97 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,085 · 3 payments
- Food and Beverage$807.91 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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