Shad Johnson, PA-C
NPI 1114028354 · Medical Physician Assistant · Pocatello, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shad Johnson, PA-C is a Medical Physician Assistant provider in Pocatello, ID (NPI 1114028354).
Provider details
- NPI number
- 1114028354
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-629 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
416 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 180 | $103 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $73 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 40 | $89 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $134 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 19 | $59 |
Typical Medicare-allowed amounts for these services range $59–$134 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 416 | 117 |
| Pantoprazole Sodium | 199 | 51 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 110 | 109 |
| Linaclotidebrand: Linzess | 100 | 28 |
| Azathioprine | 61 | 15 |
| Famotidine | 50 | 12 |
| Ursodiol | 50 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$354 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shad Johnson's NPI number?
- Shad Johnson's National Provider Identifier (NPI) is 1114028354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shad Johnson's specialty?
- Shad Johnson is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shad Johnson located?
- Shad Johnson's practice location on file with NPPES is 1151 Hospital Way Bldg a, Pocatello, ID 83201-2763.
- What is Shad Johnson's phone number?
- The practice phone number listed in the NPPES registry for Shad Johnson is (208) 232-6616.
- Does Shad Johnson accept Medicare?
- Shad Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shad Johnson's NPI active?
- Yes — Shad Johnson's NPI (1114028354) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.