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Active NPI 1194489898 Individual Practitioner Female Practitioner

Callysta Johnston , PA-C

Physician Assistant • Meridian, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Callysta Johnston, PA-C is a certified Physician Assistant practicing in Meridian, ID. With approximately 5 years of clinical experience since completing medical education in 2021, Callysta Johnston delivers high-quality medical care to the local community at 4949 S HILLSDALE AVE.

Callysta Johnston is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established 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

4949 S Hillsdale Ave

Meridian, ID 836427586

Telephone 2087066400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Meridian, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
136 Specialists

Practicing in Meridian, ID (1261 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnston (5 Years) 5 Yrs
Meridian Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 21 $149.36 $50.85

Medical Specialties & State Licenses

CMS Verified: 2023-06-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-2118

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

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

Secondary Practice Locations

500 W Fort St, # 111

Boise, ID 837024501

Phone: 2084221000

Practice Associates & Co-Workers

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

12 Associated Practitioners
Travis Worwood , PA-C

Physician Assistant

NPI 1053898247

Physician Assistant (Certified)

John Dahl

Family Medicine

NPI 1093406704
Allison Mcfarlane , LMSW

Social Worker - Clinical

NPI 1104561521

Licensed Master Social Worker

NPI 1174225890

Doctor of Pharmacy (Pharm.D.)

Jeremiah Legg , LCSW

Social Worker - Clinical

NPI 1255081683

Licensed Clinical Social Worker

Hayley Schank , CNP

Nurse Practitioner

NPI 1295517399

Certified Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 07, 2023

Registered at 4949 S HILLSDALE AVE, MERIDIAN, ID 836427586 (Tel: 2087066400)

📍
Updated Business Mailing Address June 07, 2023

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083818752)

📍
Updated Practice Location March 07, 2022

Registered at 500 W FORT ST, # 111, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Business Mailing Address March 07, 2022

Registered at 500 W FORT ST, # 111, BOISE, ID 837024501 (Tel: 2084221000)

NPI Profile Active October 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2021

Registered at 500 W FORT ST, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Business Mailing Address October 28, 2021

Registered at 500 W FORT ST, BOISE, ID 837024501

👤
Provider Name / Credentials Updated October 28, 2021

Recorded as CALLYSTA JOHNSTON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2021

Physician Assistant (License #PA-2118 in ID)

🟢
Initial NPI Registration & Enumeration October 28, 2021

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: 1194489898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2021
Last Update: June 07, 2023
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

Phone: 2083818752

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.