Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578850210 Individual Practitioner Male Practitioner

Dr. Nicholas Bradford Johnson , MD

Plastic Surgery • Idaho Falls, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Johnson, MD is a certified Plastic Surgery practicing in Idaho Falls, ID. With approximately 16 years of clinical experience since graduating from St. Louis College Of Physicians And Surgeons in 2010, Dr. Johnson delivers high-quality medical care to the local community at 3200 CHANNING WAY STE 206.

Dr. Johnson is affiliated with Steele Lake Specialty Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 Channing Way Ste 206

Idaho Falls, ID 834047546

Telephone 2085292230
Fax 2084536142
Associated Practice Facility / Clinic
🏢 Steele Lake Specialty Pllc Facility NPI 1215716998

Medicare Profile & Education

Medical School

St. Louis College Of Physicians And Surgeons

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Idaho Falls, ID

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -9.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Idaho Falls, ID (22 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (16 Years) 16 Yrs
Idaho Falls Specialty Average (25.0 Years) 25.0 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
126 39 $206.21 $60.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
95 15 $239.08 $109.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
93 12 $153.00 $72.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
54 28 $265.67 $89.74
99213 Established patient office or other outpatient visit, typically 15 minutes
23 13 $177.81 $83.53
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)
19 11 $604.02 $194.71
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
16 11 $695.59 $233.68
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 $449.11 $202.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $332.86 $122.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $324.54 $153.21

Medical Specialties & State Licenses

CMS Verified: 2026-06-09
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License ID M-14721

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.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License ID M-14721

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Steele Lake Specialty Pllc

3200 Channing Way, Idaho Falls, ID 834047586

Phone: 2085292230

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Jhade Woodall , MD

Plastic Surgery

NPI 1053606236

Doctor of Medicine (M.D.)

Nicholas Anderson , PA-C

Physician Assistant

NPI 1093281016

Physician Assistant (Certified)

Steven Cook , NP-C

Nurse Practitioner - Family

NPI 1114494366

Nurse Practitioner (Certified)

Ashley Klink , PA-C

Physician Assistant

NPI 1184307621

Physician Assistant (Certified)

Kenneth Jackson , PA

Physician Assistant

NPI 1194587824

Physician Assistant

NPI 1326427360

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Business Mailing Address June 09, 2026

Registered at 3200 CHANNING WAY STE A206, IDAHO FALLS, ID 834047586 (Tel: 2085292230)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2026

Surgery (License #M-14721 in ID)

👤
Provider Name / Credentials Updated March 25, 2025

Recorded as NICHOLAS JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2025

Plastic Surgery (License #83999 in GA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2024

Plastic Surgery (License #M-14721 in ID)

📍
Updated Practice Location January 11, 2023

Registered at 3200 CHANNING WAY STE 206, IDAHO FALLS, ID 834047546 (Tel: 2085292230)

📍
Updated Business Mailing Address January 11, 2023

Registered at PO BOX 277381, ATLANTA, GA 303847381 (Tel: 2085292230)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2022

Plastic Surgery (License #83999 in GA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2021

Plastic Surgery (License #M-14721 in ID)

📍
Updated Practice Location November 19, 2019

Registered at 3100 CHANNING WAY, IDAHO FALLS, ID 834047533 (Tel: 7068639595)

📍
Updated Business Mailing Address November 19, 2019

Registered at PO BOX 12358, AUGUSTA, GA 309142358 (Tel: 7068639595)

👤
Provider Name / Credentials Updated November 19, 2019

Recorded as NICHOLAS JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2019

Surgery (License #M-14721 in ID)

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2016

Registered at 545 BARNHILL DR, EMERSON HALL (EH), SUITE 232, INDIANAPOLIS, IN 462025112 (Tel: 3172780394)

📍
Updated Business Mailing Address May 24, 2016

Registered at 545 BARNHILL DR, EMERSON HALL (EH), SUITE 232, INDIANAPOLIS, IN 462025112 (Tel: 3172780394)

👤
Provider Name / Credentials Updated May 24, 2016

Recorded as NICHOLAS JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Surgery (License #125.057673 in IL)

🟢
Initial NPI Registration & Enumeration July 01, 2011

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: 1578850210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2011
Last Update: June 09, 2026
Sole Proprietor: No

Mailing Address

3200 Channing Way Ste A206

Idaho Falls, ID 834047586

Phone: 2085292230

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.