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CALLYSTA JOHNSTON PA-C
NPI 1194489898
Physician Assistant in Meridian, ID

Active since October 28, 2021PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
4949 S HILLSDALE AVE, MERIDIAN, ID 83642(208) 706-6400 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, Mar 7, 2022 (2 updates tracked since 2022).

About Callysta Johnston Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLYSTA JOHNSTON PA-C (NPI 1194489898) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (PA-2118) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194489898
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCALLYSTA JOHNSTONCredential: PA-C
Location Address4949 S HILLSDALE AVEMeridian, ID 83642-7586
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8752
Phone(208) 706-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 28, 2021
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1194489898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-2118
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4949 S HILLSDALE AVE, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Callysta Johnston Pa-c 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.

PECOS PAC ID9830570126
PECOS Enrollment IDI20230920002561
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS DALE WORWOOD PA-C
Physician Assistant
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400
JOHN KEITH DAHL
Family Medicine
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400
ALLISON K MCFARLANE LMSW
Social Worker (Clinical)
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400
DR. NATALIE ANN SOLOMON PHARMD
Pharmacist
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400
KATELYN JAYE LECHTENBERG PT, DPT
Physical Therapist
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6449
JEREMIAH S LEGG LCSW
Social Worker (Clinical)
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400
HAYLEY NICOLE SCHANK CNP
Nurse Practitioner
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400
AMANDA G SESSIONS DO
Family Medicine
4949 S HILLSDALE AVE
MERIDIAN, ID 83642
Ada County (208) 706-6400

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 Callysta Johnston's NPI number?

The NPI number for Callysta Johnston is 1194489898. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Callysta Johnston located?

Callysta Johnston practices at 4949 S Hillsdale Ave, Meridian, ID 83642. The listed phone number is (208) 706-6400.

What is Callysta Johnston's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Callysta Johnston enrolled in Medicare?

Yes. Callysta Johnston 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 Callysta Johnston accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Callysta Johnston 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 Callysta Johnston affiliated with any hospitals?

According to CMS data, Callysta Johnston is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Callysta Johnston was last updated on June 7, 2023. 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.