MICAH JOHNSON
NPI 1326469248
Physician Assistant in Pueblo, CO

Active since December 19, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1600 N GRAND AVE, SUITE 508, PUEBLO, CO 81003(719) 595-7040 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Micah Johnson NPPES

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

MICAH JOHNSON (NPI 1326469248) is an individual physician assistant in Pueblo, Colorado, licensed in Colorado (0003846) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326469248
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICAH JOHNSON
Location Address1600 N GRAND AVE, SUITE 508Pueblo, CO 81003-2700
Mailing Address1600 N Grand Ave, Suite 508Pueblo, CO 81003-2700 · (719) 595-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 19, 2013
NPI 1326469248 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 CO · 0003846
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.
1600 N GRAND AVE, Pueblo, CO 81003

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

Micah 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.

PECOS PAC ID2567693922
PECOS Enrollment IDI20140327001409
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 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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
47 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services26 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
26 services25 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
16 services13 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
1600 N GRAND AVE, SUITE 400
PUEBLO, CO 81003
Internal Medicine (Cardiovascular Disease)
1600 N GRAND AVE, SUITE 500
PUEBLO, CO 81003
Internal Medicine (Gastroenterology)
1600 N GRAND AVE, SUITE 440
PUEBLO, CO 81003
Exclusive Provider Organization
1600 N GRAND AVE, #230
PUEBLO, CO 81003
Psychiatry & Neurology (Neurology)
1600 N GRAND AVE, SUITE: 110
PUEBLO, CO 81003
Surgery
1600 N GRAND AVE, STE 510
PUEBLO, CO 81003
Nurse Practitioner
1600 N GRAND AVE
PUEBLO, CO 81003
Internal Medicine
1600 N GRAND AVE
PUEBLO, CO 81003

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 Micah Johnson's NPI number?

The NPI number for Micah Johnson is 1326469248. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Where is Micah Johnson located?

Micah Johnson practices at 1600 N Grand Ave Suite 508, Pueblo, CO 81003. The listed phone number is (719) 595-7040.

What is Micah Johnson's specialty?

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

Is Micah Johnson enrolled in Medicare?

Yes. Micah 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.

When was this NPI record last updated?

The NPPES record for Micah Johnson was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.