NPIMap

Individual provider Active NPI

Jayson Johnson, M.D.

  • Orthopaedic Hand Surgery Physician
  • Boise, ID
National Provider Identifier
1841673118
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
M15661 Issued in ID
Practice address
901 N Curtis Rd Ste 304
Boise, ID 83706-1341
Phone
(208) 342-4263
Fax
(208) 375-0597
NPI assigned
Jul 6, 2015
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2015021994 MO
Orthopaedic Hand Surgery Physician 207XS0106X M15661 ID Primary

Addresses

Primary practice location

901 N Curtis Rd Ste 304
Boise, ID 83706-1341

Mailing address

901 N Curtis Rd Ste 304
Boise, ID 83706-1341
Phone (208) 577-5342

Other identifiers 1

IdentifierTypeStateIssuer
2015021994OtherMOMISSOURI DIVISION OF PROFESSIONAL REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001220 ID Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 6103134085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Hand Center, PAGroup PAC ID 9830250091, 6 clinicians

Practice addresses (Care Compare)

901 N Curtis Rd
Suite 304
Boise, ID 83706-1341
Phone (208) 342-4263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M15661IDMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Hand Center, PA Orthopaedic Surgery CurrentSince Apr 21, 2021 Accepting new patients
Boise Center for Foot Surgery PLLC PastSince Oct 1, 2023 Accepting new patients

Locations

901 N Curtis Rd
Ste 304
Boise, ID 83706
Phone (208) 342-4263

Interoperability endpoints

  • Direct secure messaging: jjohnson1563797@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1841673118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 304",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061341",
            "telephone_number": "208-577-5342",
            "fax_number": "208-375-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 304",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061341",
            "telephone_number": "208-342-4263",
            "fax_number": "208-375-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAYSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2015021994",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "M15661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2015021994",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.