JEFFERY L JOHNSON (PA) – Physician Assistant, NPI 1609887801
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for JEFFERY L JOHNSON (PA)
3340 E GOLDSTONE WAY
MERIDIAN, ID 836421026
Phone: (208) 286-6676
Fax: (208) 947-3419
Type: Mailing
3217, West Bavaria Street, Eagle, Ada County, Idaho, 83616, United States
EAGLE, ID 83616
Phone: (208) 239-1000
Fax: (208) 239-2136
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $827.
Total Amount is formed as General ($827) + Research ($0) + Ownership ($0) = $827.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($157).
Total Amount
$827
General + Research + Ownership
Payments
42
Total payment records
General Amount
$827
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $157 |
| ABBVIE INC. | $93 |
| ITI, Inc. | $88 |
| Janssen Pharmaceuticals, Inc | $57 |
| Neurocrine BioSciences Inc. | $53 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090415000672 | I | Physician Assistant | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID |
Reviews
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