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TYLER W JOHNSON DO
NPI 1376034181
Surgery in Coeur D Alene, ID

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-5200(208) 625-5201 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Jun 16, 2025, Jun 11, 2019 (3 updates tracked since 2019).

About Tyler W Johnson Do NPPES

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

TYLER W JOHNSON DO (NPI 1376034181) is an individual surgery provider in Coeur D Alene, Idaho, licensed in Idaho (4971842) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Kansas City College Of Medicine And Surgery (2018).

NPPES Registry Identity

NPI1376034181
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTYLER W JOHNSONCredential: DO
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-4000
Phone(208) 625-5200
Fax(208) 625-5201
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2018
Enumeration DateMay 29, 2018
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1376034181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ID · 4971842✔ Licensed in SC · LL82173
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Tyler W Johnson Do 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 ID648524736
PECOS Enrollment IDI20250505001797
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.

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Boundary Community Hospital

Critical Access Hospitals · Bonners Ferry, ID
OwnershipVoluntary non-profit - Other
CMS Certification Number131301
Location6640 Kaniksu StreetBonners Ferry, ID 83805 · Boundary County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

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.

CHRISTINA CRABTREE M.D.
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
SCOTT GEYER RD
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. MATTHEW KUNZ DO
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
MRS. AMANDA K KAMPF RN, BSN
Student in an Organized Health Care Education/Training Program
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. PATRICK WILLIAM MAGAJNA MD
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
JOSHUA LEPPERT CRNA
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 765-8585
MARC OLAV GRANRUD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900
KIMBERLEY S HALL DIETICIAN
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 666-2000

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 Tyler Johnson's NPI number?

The NPI number for Tyler Johnson is 1376034181. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Tyler Johnson located?

Tyler Johnson practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5200.

What is Tyler Johnson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tyler Johnson enrolled in Medicare?

Yes. Tyler 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 Tyler Johnson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tyler 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 Tyler Johnson affiliated with any hospitals?

According to CMS data, Tyler Johnson is affiliated with Kootenai Health and Boundary Community Hospital.

When was this NPI record last updated?

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