KEITON JOHNSON (PA-C) – Family Medicine Physician, NPI 1851903702
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for KEITON JOHNSON (PA-C)
3425 POTOMAC WAY
IDAHO FALLS, ID 834044984
Phone: (208) 528-8170
Type: Mailing
2659 E 105 N
IDAHO FALLS, ID 834015441
Phone: (208) 716-5083
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $1,894.
Total Amount is formed as General ($1,894) + Research ($0) + Ownership ($0) = $1,894.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($551).
Total Amount
$1,894
General + Research + Ownership
Payments
99
Total payment records
General Amount
$1,894
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $551 |
| Amgen Inc. | $172 |
| Phathom Pharmaceuticals, Inc. | $166 |
| Novo Nordisk Inc | $148 |
| GlaxoSmithKline, LLC. | $123 |
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: 2020-09-09
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 |
|---|---|---|---|---|
| I20200909001209 | 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 | 433 | 206 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 166 | 135 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 142 | 126 | $0 |
| 83036 | Hemoglobin a1c level | 127 | 116 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 126 | 110 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | MD | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Orthopedic Surgery | UT | |
| Physician Assistant | ID | |
| - | ID | |
| - | ID | |
| Orthopedic Surgery | OH | |
| Orthopedic Surgery | ID | |
| Physician Assistant | AZ |
Reviews
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