Michael Johnson, PA
NPI 1669931705ActiveIndividual· Physician Assistant· Moses Lake, WA
Physician Assistant (PA) with Waterfall Clinic Incorporated, practicing in Moses Lake, Washington. 79 Medicare patients in 2024, $4,969 paid; nearly all of their 241 Part D prescriptions were generic (93%). Lists Bay Area Hospital as a hospital affiliation.
Overview
| NPI | 1669931705 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Mar 18, 2019 |
| Last updated in NPPES | Oct 5, 2026 |
| Certified by provider | Oct 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA61018488 | WA |
| Physician Assistant | 363A00000X | 184444 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (TX); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 113 across 16 procedure codes |
| Paid by Medicare | $4,969 |
Part D prescriptions in 2024
| Prescriptions (claims) | 241 · 317 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $6,805 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Waterfall Clinic IncorporatedNorth Bend, OR · 14 clinicians
Hospital affiliation
- Bay Area HospitalCoos Bay, OR
Other facilities
- Oregon Coast Home HealthHome health agency · Coos Bay, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Moses Lake
- 1770093304
- 1508343732
- 1548647266
- 1235753880
- 1487216420
- 1164036224
- 1043902711
- 1689818270
- 1326005646
- 1801297932
- 1033874144
- 1861182503