Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kevin Wayne Johnson, DO

Individual provider Psychiatry Physician · NPI 1104212562

Kevin Wayne Johnson, DO practises Psychiatry in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with City of Portsmouth, an 8-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 619-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 0102206028 (VA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0102206028 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104212562
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice City Of Portsmouth — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients26
Services billed 90 a service is one billed item, such as a visit, a test or a procedure
Average patient age57

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $593 29 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at City of Portsmouth

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 8 clinicians in the practice; 4 are shown here.

Other providers in Tulsa