KORYN AMANDA JOHNSTON D.O. NPI 1003107442

NPI Information

  • NPI: 1003107442
  • Provider Name: KORYN AMANDA JOHNSTON, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 PLAZA LN
    WELLSBORO, PA
    ZIP 16901
  • Phone: (570) 724-4241

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NPI Details

Koryn Amanda Johnston, D.O. is a family medicine in Wellsboro, PA with 15 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Koryn Amanda Johnston, D.O. NPI is 1003107442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MID WEST MEDICAL COLLEGE
Graduation Year:2011

The provider's business location address is:

110 PLAZA LN
WELLSBORO, PA
ZIP 16901-773
Phone: (570) 724-4241
Fax: (570) 724-5510

The NPI 1003107442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, clotting time (HCPCS:85610)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Automated urinalysis test (HCPCS:81003)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 4/19/2011 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS017260PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103987359MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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