BLAKE G JOHNSON (M.D.) – Orthopaedic Surgery Physician, NPI 1619913381

BLAKE G JOHNSON (M.D.) is a healthcare provider. based in Twin falls, Idaho. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. M7285 (ID). The NPI Number for BLAKE G JOHNSON (M.D.) is 1619913381

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE G JOHNSON (M.D.)
NPI
1619913381
Phone
(208) 814-7000
Address
738 N COLLEGE RD
Enumeration Date
21 June 2006
Last Update Date
29 December 2014

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2087353600
Graduation Year
1991 (35 years ago)
PAC ID
9537060199
Group Practice PAC ID
4880043678
Professional Enrollment ID
I20040116000269
Address ID
ID833013386TW738XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

182 ORTHOPEDIC SURGERY in ID

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Provider Addresses for BLAKE G JOHNSON (M.D.)

  • 738, North College Road, Twin Falls, Twin Falls County, Idaho, 83301, United States

    SUITE A

    TWIN FALLS, ID 833013385

    Phone: (208) 814-7000

    Fax: (208) 734-7294

    Type: Location

  • PO BOX 587

    TWIN FALLS, ID 833030587

    Phone: (208) 814-7400

    Fax: (208) 814-7491

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-10-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($19).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-01-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040116000269IOrthopedic SurgeryIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes153117$0
99212Established patient office or other outpatient visit, 10-19 minutes6149$0
20610Aspiration and/or injection of fluid from large joint4638$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
23472Prosthetic repair of shoulder joint, total shoulder2624$0
View full utilization report →

Insurance plans in this area (ZIP 83301)

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Provider's Procedures

BLAKE G JOHNSON (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYID20610Aspiration and/or injection of large joint or joint capsule170125

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880043678View full group profile
NameSpecialtyState
Nurse PractitionerID
Orthopedic SurgeryID
Orthopedic SurgeryID
Orthopedic SurgeryID
Nurse PractitionerID
Plastic And Reconstructive SurgeryID
Nurse PractitionerID
Physician AssistantID
Physician AssistantID
Physician AssistantGA

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Frequently asked questions

What NPI should I save for BLAKE G JOHNSON (M.D.)?
Save NPI 1619913381 if you need a stable reference for BLAKE G JOHNSON (M.D.).
Is BLAKE G JOHNSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BLAKE G JOHNSON (M.D.) treat or focus on?
Patients typically see BLAKE G JOHNSON (M.D.) under the specialty Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BLAKE G JOHNSON (M.D.)?
The page summarizes Twin Falls, Idaho for BLAKE G JOHNSON (M.D.); expand the address list for detail.
How can I contact BLAKE G JOHNSON (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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