Shad Carl Johnson, PA-C
Medical Physician Assistant · Pocatello, ID
Shad Carl Johnson, PA-C is a medical physician assistant with a practice address in Pocatello, Idaho, and NPI 1114028354, issued on Sep 26, 2006. Check the license (Idaho PA-629, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shad Carl Johnson
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA-629 ID
Self-reported in NPPES; status is on the state search - Practice location
- 1151 Hospital Way Bldg A, Pocatello, ID 83201
- Phone
- (208) 232-6616
- Enumerated
- Sep 26, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (208) 232-6618
- Medicare enrollment
- Enrolled (PECOS I20070313000263); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 371 in Idaho → Look up another NPI →
Also registered at 1151 Hospital Way Bldg A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Darryl Cook, M.D.Gastroenterology Physician1972525111
- Thomas Davis, D.O.Gastroenterology Physician1295757433
- Charles Evans, M.D.Gastroenterology Physician1992727143
- Matthew Gregson, PA-CPhysician Assistant1710358007
- Brandon Scott, D.O.Gastroenterology Physician1972980548
Verify Shad Carl Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license PA-629Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% more Medicare Part D claims than the average medical physician assistant in 2024
1,813 Medicare Part D claims for 409 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.
Most prescribed
- Omeprazole416 claims
- Pantoprazole Sodium199 claims
- Gavilyte-C110 claims
- Linzess100 claims
- Azathioprine61 claims
- Famotidine50 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $354.12
18 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Pocatello Health Services LLCPocatello, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shad Carl Johnson among 371 medical physician assistant records in Idaho
Shad Carl Johnson, PA-C is one of 371 medical physician assistant records with a practice address in Idaho. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 71% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2006 · median 2011 among the 249 with a school on file
- Record last updated2007 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
31 medical physician assistant records list a practice address in Pocatello
They are 31 of the 1,968 NPPES records with a practice address in Pocatello, and 371 medical physician assistant records in Idaho.
All 371 in Idaho → Every provider in Pocatello → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Paul Bieniasz, PA-CPocatello, ID 832011518934181
- Kebai Bills, PHYSICIAN ASSISTANTPocatello, ID 832011750342952
- James Blaine, P.A.-CPocatello, ID 832011801963459
- Cynthia Bunde, PAPocatello, ID 832011417909862
- Roger Cushman, P.A.Pocatello, ID 832011578742615
- Karen Dickerson, PA-CPocatello, ID 832011760597462
- Annie Dixon, PAPocatello, ID 832011205085529
- Derek Eddie, PA-CPocatello, ID 832011346375367
Common questions
What is Shad Carl Johnson, PA-C's NPI number?
Shad Carl Johnson, PA-C's National Provider Identifier (NPI) is 1114028354, issued on Sep 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shad Carl Johnson, PA-C located?
The NPPES record lists a practice address at 1151 Hospital Way Bldg A, Pocatello, ID, 83201. Phone: (208) 232-6616. Providers update this record themselves, so call before visiting.
How can I verify Shad Carl Johnson, PA-C's license?
NPPES lists Idaho license number PA-629, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
How much does Shad Carl Johnson, PA-C prescribe under Medicare Part D?
In 2024, Shad Carl Johnson, PA-C had 1,813 Medicare Part D claims for 409 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.