Tyler W. Johnson, DO
NPI 1376034181ActiveIndividual· Surgery· Coeur D Alene, ID
Surgery (DO) in Coeur D Alene, Idaho, trained at Kansas City College of Medicine and Surgery (class of 2018). Part D covered 23 prescriptions written in 2024, 96% of them generic. Intuitive Surgical, Inc. reported $2.50 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1376034181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 29, 2018 |
| Last updated in NPPES | Dec 18, 2025 |
| Certified by provider | Dec 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 4971842 | ID |
| Surgery | 208600000X | LL82173 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (ID) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 23 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $1,294 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Kansas City College of Medicine and Surgery |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | General Surgery |
Medical group
- Kootenai Health IncOrofino, ID · 399 clinicians
Hospital affiliations
- Boundary Community HospitalBonners Ferry, ID
- Kootenai HealthCoeur D'Alene, ID
Industry payments (Open Payments)
- 2024$2.50 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $2.50 | 1 |
What the 2024 payments were for
- Food and Beverage$2.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Coeur D Alene
- 1205086089
- 1659483410
- 1104658152
- 1639352719
- 1194706465
- 1417290099
- 1952333197
- 1942481452
- 1679685598
- 1588013536
- 1922627348
- 1720190796