CODY JOHNSON
NPI 1184392011
Physician Assistant in Boise, ID
About Cody Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY JOHNSON (NPI 1184392011) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-2399) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Farmington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cody Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDSt Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDSt Luke's Mccall
Critical Access Hospitals · Mccall, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cody Johnson's NPI number?
The NPI number for Cody Johnson is 1184392011. It was assigned to this individual provider in the NPPES registry on September 3, 2021.
Where is Cody Johnson located?
Cody Johnson practices at 190 E Bannock St Fl 10, Boise, ID 83712. The listed phone number is (208) 381-5500.
What is Cody Johnson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Cody Johnson enrolled in Medicare?
Yes. Cody Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Cody Johnson accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Cody Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Cody Johnson affiliated with any hospitals?
According to CMS data, Cody Johnson is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Mccall.
When was this NPI record last updated?
The NPPES record for Cody Johnson was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cody Johnson · NPI 1184392011
Physician Assistant physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1184392011 (Entity type: Individual)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA-2399 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 E BANNOCK ST FL 10, Boise, ID 83712-6241
- **Phone:** (208) 381-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184392011) · Data from the CMS NPPES public registry.