DR. RYAN TYLER JOHNSON DPM
NPI 1265059042
Podiatrist in Boise, ID

Q: What is Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1265059042. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Ryan Johnson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Johnson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment

900 N LIBERTY ST STE 306, BOISE, ID 83704(208) 367-7887(208) 367-7888 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Jun 29, 2020 (2 updates tracked since 2020).

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About Dr. Ryan Tyler Johnson Dpm NPPES

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

DR. RYAN TYLER JOHNSON DPM (NPI 1265059042) is an individual podiatrist in Boise, Idaho, licensed in Idaho (P277) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Barry University School Of Podiatric Medicine (2020).

NPPES Registry Identity

NPI1265059042

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. RYAN TYLER JOHNSONCredential: DPM

Location Address900 N LIBERTY ST STE 306Boise, ID 83704-8729

Mailing Address900 N Liberty St Ste 306Boise, ID 83704-8729 · (208) 367-7887 · Fax (208) 367-7888

Phone(208) 367-7887

Fax(208) 367-7888

Sole ProprietorNo

Medical School CMSBarry University School Of Podiatric MedicineGraduated 2020

Enumeration DateJune 29, 2020

Last NPPES UpdateApril 8, 20252 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1265059042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in ID · P277

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

900 N LIBERTY ST STE 306, Boise, ID 83704

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Tyler Johnson Dpm 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 ID7911368261

PECOS Enrollment IDI20230802002318

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Treasure Valley Podiatry, Inc

Same address

Podiatrist

900 N LIBERTY ST, SUITE 306
Boise, ID 83704

Reassigned Medicare billing, Idaho enrollment

NPI 1487735254 (208) 367-7887

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

120 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

100 services100 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

88 services48 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

83 services43 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

42 services25 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

29 services26 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 83704 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.

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 Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1265059042. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Ryan Johnson located?

Ryan Johnson practices at 900 N Liberty St Ste 306, Boise, ID 83704. The listed phone number is (208) 367-7887.

What is Ryan Johnson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Ryan Johnson enrolled in Medicare?

Yes. Ryan 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.

Which organization bills Medicare for Ryan Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Johnson reassigns Medicare benefits to Treasure Valley Podiatry, Inc (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Johnson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Ryan 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 Ryan Johnson affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Ryan Johnson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.