Doctor profile · Federal record
Dr. Cody Johnson
Physician Assistant · Physician Assistant · Boise, ID
- NPI 1184392011
- Accepts Medicare
- MIPS 83.3 / 100 · 2023
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
190 E Bannock St Fl 10
Boise, ID 837126241
(208) 381-5500 - Additional location
-
407 S Schwartz Ave Ste 101
Farmington, NM 874015925
(505) 609-6595 - Mailing address
-
190 E Bannock St
Boise, ID 837126241
Credentials & registration
- NPI registered
- September 2021 — 5 yrs on file
- Profile last updated
- November 30, 2022
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Idaho #PA-2399
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184392011. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
27
Distinct HCPCS
2
Medicare allowed
$2,825
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
15734 |
Creation of muscle graft to trunk | 14 | 13 | $130 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $77 |
In context: peer comparison
Among 112 peers in Boise Physician Assistant, average services per provider: 73. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$153
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Orthofix Medical, INC. | 1 | $152.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
22
Patients
0
Total drug cost
$169
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methocarbamol | Generic | 11 | 0 | $87 |
| Oxycodone Hcl | Generic | 11 | 0 | $82 |
Hospital affiliations
Frequently asked questions
What is Dr. Cody Johnson's medical specialty?
Dr. Cody Johnson practices Physician Assistant in Boise, ID.
Where does Dr. Cody Johnson practice?
Dr. Cody Johnson practices at 190 E Bannock St Fl 10, Boise, ID 837126241. Office phone: 2083815500.
What is Dr. Cody Johnson's NPI?
Dr. Cody Johnson's National Provider Identifier (NPI) is 1184392011, issued by NPPES.
Does Dr. Cody Johnson accept Medicare assignment?
Yes. Dr. Cody Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Cody Johnson commonly perform?
Top Medicare-reported procedures in 2023: Creation of muscle graft to trunk (HCPCS 15734); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.