Active NPI 1326469248 Individual Practitioner Male Practitioner

Micah Johnson

Physician Assistant • Pueblo, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Micah Johnson is a certified Physician Assistant practicing in Pueblo, CO. With approximately 13 years of clinical experience since completing medical education in 2013, Micah Johnson delivers high-quality medical care to the local community at 1600 N GRAND AVE.

Micah Johnson maintains professional affiliations with Poudre Valley Medical Group Llc, Parkview Ancillary Services Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of lower and sacral spine, minimum of 4 views, established patient outpatient office visit, x-ray of upper spine, 4 or 5 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 N Grand Ave
Suite 508

Pueblo, CO 810032700

Telephone 7195957040

Associated Practice Facility / Clinic

🏢 Sangre De Cristo Internal Medicine Associates Facility NPI 1104808690

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pueblo, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

61 Specialists

Practicing in Pueblo, CO (3810 Statewide)

Telehealth Adoption Rate

8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (13 Years) 13 Yrs

Pueblo Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	47	47	$93.33	$40.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$227.87	$109.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$341.32	$154.40
72050 X-ray of upper spine, 4 or 5 views	26	25	$82.00	$42.44
72040 X-ray of upper spine, 2-3 views	16	13	$70.83	$30.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$203.77	$95.41
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$168.00	$78.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$294.54	$142.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$258.78	$143.87
72110 X-ray of lower and sacral spine, minimum of 4 views	31	30	$79.00	$41.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$200.17	$110.70
72114 X-ray lower and sacral spine, minimum of 6 views	26	26	$96.00	$50.26
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$135.00	$78.37
72050 X-ray of upper spine, 4 or 5 views	20	20	$82.00	$42.80
72052 X-ray of upper spine, 6 or more views	16	16	$78.63	$43.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$268.00	$154.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$328.00	$189.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$175.50	$97.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$198.00	$109.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$257.00	$142.38
72114 X-ray lower and sacral spine, minimum of 6 views	22	22	$100.00	$50.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$242.00	$144.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	38	$188.00	$112.12
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$132.50	$80.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	39	$115.00	$65.88
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	19	$129.19	$37.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$253.00	$144.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$168.00	$95.88
22614 Fusion of additional segment of spine	29	12	$346.98	$56.11
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	11	$106.74	$30.16
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$536.97	$127.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	50	$114.97	$64.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$253.00	$143.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$168.02	$92.66
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	29	20	$80.32	$35.57
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$338.99	$110.90
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	18	$67.60	$30.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$70.00	$39.32
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$280.27	$88.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$167.00	$94.35
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$244.20	$110.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$166.98	$92.92
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$115.06	$62.75
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	29	$93.79	$35.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$166.86	$92.52
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	16	$98.22	$30.13
22614 Fusion of additional segment of spine	34	11	$212.95	$55.72
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$349.40	$107.35
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$587.80	$253.35
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$243.48	$108.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	47	$190.00	$91.95
99213 Established patient office or other outpatient visit, typically 15 minutes	52	42	$150.00	$62.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$165.88	$92.70
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$114.93	$64.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$111.00	$61.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$311.00	$173.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 0003846

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.

Hospital & Practice Group Affiliations

Parkview Ancillary Services Corporation

1619 N Greewood, Pueblo, CO 810032655

Phone: 7195957760

Parkview Ancillary Services Corporation

400 W 16th St, Pueblo, CO 810032745

Phone: 7195844921

Parkview Ancillary Services Corporation

1619 N Greenwood St, Pueblo, CO 810032655

Phone: 7195422400

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Poudre Valley Medical Group Llc

1600 N Grand Ave, Pueblo, CO 810032757

Poudre Valley Medical Group Llc

400 W 16th St, Pueblo, CO 810032745

Phone: 7195844921

Parkview Ancillary Services Corporation

1600 N Grand Ave, Pueblo, CO 810032757

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Andrew Glass , PA-C

Physician Assistant - Surgical

NPI 1114397437

Physician Assistant (Certified)

Dr. Raymond Lilly , MD

Neurological Surgery

NPI 1376541094

Doctor of Medicine (M.D.)

Christopher Traut , PA-C

Neurological Surgery

NPI 1407249188

Physician Assistant (Certified)

Dr. William Lu , MD

Neurological Surgery

NPI 1457300840

Doctor of Medicine (M.D.)

Dr. Hamid Hadi , DO

Neurological Surgery

NPI 1699260604

Doctor of Osteopathic Medicine (D.O.)

Dr. Ali Murad , MD

Neurological Surgery

NPI 1811103831

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2013

Registered at 1600 N GRAND AVE, SUITE 508, PUEBLO, CO 810032700 (Tel: 7195957040)

📍

Updated Business Mailing Address December 19, 2013

Registered at 1600 N GRAND AVE, SUITE 508, PUEBLO, CO 810032700 (Tel: 7195957040)

👤

Provider Name / Credentials Updated December 19, 2013

Recorded as MICAH JOHNSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2013

Physician Assistant (License #0003846 in CO)

🟢

Initial NPI Registration & Enumeration December 19, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326469248

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2013

Last Update: December 19, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1600 N Grand Ave, Suite 508

Pueblo, CO 810032700

Phone: 7195957040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.