NICHOLAS BRADFORD JOHNSON MD
NPI 1578850210
Plastic Surgery in Idaho Falls, ID

Q: What is Nicholas Johnson's NPI number?

The NPI number for Nicholas Johnson is 1578850210. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Q: What is Nicholas Johnson's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Johnson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 01, 2011PECOS EnrolledAccepts Medicare Assignment

3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404(208) 529-2230(208) 453-6142 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2025, Jan 11, 2023, May 20, 2022 and 4 more (7 updates tracked since 2019).

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About Nicholas Bradford Johnson Md NPPES

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

NICHOLAS BRADFORD JOHNSON MD (NPI 1578850210) is an individual plastic surgery provider in Idaho Falls, Idaho, licensed in Idaho (M-14721) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of St. Louis College Of Physicians And Surgeons (2010).

NPPES Registry Identity

NPI1578850210

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameNICHOLAS BRADFORD JOHNSONCredential: MD

Location Address3200 CHANNING WAY STE 206Idaho Falls, ID 83404-7546

Mailing Address3200 Channing Way Ste A206Idaho Falls, ID 83404-7586 · (208) 529-2230 · Fax (208) 561-8061

Phone(208) 529-2230

Fax(208) 453-6142

Sole ProprietorNo

Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2010

Enumeration DateJuly 1, 2011

Last NPPES UpdateJune 9, 20267 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1578850210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in ID · M-14721

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License M-14721 (ID)

3200 CHANNING WAY STE 206, Idaho Falls, ID 83404

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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

Nicholas Bradford Johnson Md 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 ID2860783404

PECOS Enrollment IDI20190927000381

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 10

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.

126 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

95 services15 patients

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.

93 services12 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.

54 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

23 services13 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

19 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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 13

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

DR. JHADE WOODALL MD

Plastic Surgery