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Active NPI 1609887801 Individual Practitioner Male Practitioner

Jeffery L Johnson , PA

Physician Assistant • Eagle, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeffery Johnson, PA is a certified Physician Assistant practicing in Eagle, ID. With approximately 24 years of clinical experience since completing medical education in 2002, Jeffery Johnson delivers high-quality medical care to the local community at 3217 W BAVARIA STREET.

Jeffery Johnson is affiliated with Dwyer And Harrington, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3217 W Bavaria Street

Eagle, ID 83616

Telephone 2082391000
Fax 2082392136
Associated Practice Facility / Clinic
🏢 Pocatello Hospital Llc Facility NPI 1790751055

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eagle, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +8.6 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Eagle, ID (1261 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (24 Years) 24 Yrs
Eagle Specialty Average (15.4 Years) 15.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes
25 13 $165.00 $71.14

Medical Specialties & State Licenses

CMS Verified: 2021-02-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA416

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

Dwyer And Harrington, Pllc

5985 W State St, Boise, ID 837033039

Phone: 2088530071

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kenneth Ryan , MD

Emergency Medicine

NPI 1003843343

Doctor of Medicine (M.D.)

Dr. Roger Cook , MD

Anesthesiology

NPI 1003966227

Doctor of Medicine (M.D.)

Shannon Webb , PA-C

Physician Assistant

NPI 1013691971

Physician Assistant (Certified)

Dr. Jacob Delarosa , MD

Internal Medicine - Cardiovascular Disease

NPI 1083759880

Doctor of Medicine (M.D.)

Brady Shepherd

Nurse Anesthetist, Certified Registered

NPI 1093586158
Chelsey Aslett , NP-C

Nurse Practitioner - Family

NPI 1124851357

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated February 03, 2021

Recorded as JEFFERY JOHNSON, PA

NPI Profile Active December 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2013

Registered at 3217 W BAVARIA STREET, EAGLE, ID 83616 (Tel: 2082391000)

📍
Updated Business Mailing Address December 05, 2013

Registered at 3340 E GOLDSTONE WAY, MERIDIAN, ID 836421026 (Tel: 2082866676)

👤
Provider Name / Credentials Updated December 05, 2013

Recorded as JEFFREY JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2013

Physician Assistant (License #PA416 in ID)

🟢
Initial NPI Registration & Enumeration August 11, 2006

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: 1609887801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: February 03, 2021
Sole Proprietor: No

Mailing Address

3340 E Goldstone Way

Meridian, ID 836421026

Phone: 2082866676

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.