Teresa K Johnson


Address: 1995 E 17th St, Suite 5, Idaho Falls, ID 83404-6493

Teresa K Johnson (NPI# 1285642322, PAC ID# 5496813594) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1285642322
PAC ID by PECOS 5496813594
Professional Enrollment ID I20081112000757
Full Name Teresa K Johnson
Address 1995 E 17th St
Suite 5
Idaho Falls
ID 83404-6493
Gender F
Medical School UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
131324 LOST RIVERS MEDICAL CENTER
130065 MOUNTAIN VIEW HOSPITAL
130018 EASTERN IDAHO REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1995 E 17th St, Suite 5, Idaho Falls, ID 83404-6493

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 39%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%
MIPS_EC_333_overall Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) 1%

Organization Information

Office Location

Street Address 1995 E 17TH ST
SUITE 5
City IDAHO FALLS
State ID
Zip 83404-6493

Physicians in the same location

Name Specialty Organization Address
Eulalia A Aljayoushi Nurse Practitioner Northstar Healthcare LLC 1995 E 17th St, Suite 2, Idaho Falls, ID 83404-6493
Bradley Cole Nurse Practitioner Northstar Healthcare LLC 1995 E 17th St, Suite 2, Idaho Falls, ID 83404-6493
Laura J Mason Nurse Practitioner Northstar Healthcare LLC 1995 E 17th St, Suite 2, Idaho Falls, ID 83404-6493

Physicians in the same zip code

Name Specialty Organization Address
Elizabeth Ann Sharp-marsden Nurse Practitioner 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225
Lisa Hong Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brent Kennedy Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Heidi Duran Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Rebecca L Butikofer Occupational Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kristan Bullock Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Dawn Taylor Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Brenda Padron Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Kimberly Stowell Qualified Speech Language Pathologist Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Michael Anderson Physical Therapy Foothills Rehabilitation and Performance Services Pllc 3715 Woodking Dr, Idaho Falls, ID 83404-4720
Find all physicians in zip 83404

Competitor

Search similar physicians

City IDAHO FALLS
Zip Code 83404
Specialty FAMILY MEDICINE
City + Specialty IDAHO FALLS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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