KOLBY V JOHNSON M.D.
NPI 1326335134
Family Medicine in Pocatello, ID

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
465 MEMORIAL DR, POCATELLO, ID 83201(208) 282-4421(208) 282-4818 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kolby V Johnson M.d. NPPES

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

KOLBY V JOHNSON M.D. (NPI 1326335134) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MR-1195) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2011).

NPPES Registry Identity

NPI1326335134
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKOLBY V JOHNSONCredential: M.D.
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address465 Memorial DrPocatello, ID 83201-4008 · (208) 282-4421 · Fax (208) 282-4818
Fax(208) 282-4818
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2011
Enumeration DateJune 30, 2011
NPI 1326335134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · MR-1195
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
465 MEMORIAL DR, Pocatello, ID 83201

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

Kolby V Johnson M.d. 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 ID6608021290
PECOS Enrollment IDI20140708000440
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
541 services214 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
159 services152 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
99 services99 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID
OwnershipGovernment - Local
CMS Certification Number131303
Location150 North 200 WestMalad, ID 83252 · Oneida County
Emergency services

Power County Hospital District

Critical Access Hospitals · American Falls, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131304
Location510 Roosevelt StreetAmerican Falls, ID 83211 · Power County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%90 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers50 claims50 services$18.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers65 claims65 services$94.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201

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 Kolby Johnson's NPI number?

The NPI number for Kolby Johnson is 1326335134. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Kolby Johnson located?

Kolby Johnson practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 282-4421.

What is Kolby Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kolby Johnson enrolled in Medicare?

Yes. Kolby 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 Kolby Johnson accept?

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

According to CMS data, Kolby Johnson is affiliated with Portneuf Medical Center, Nell J Redfield Memorial Hospital and Power County Hospital District.

When was this NPI record last updated?

The NPPES record for Kolby Johnson was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.