Ian Mark Johnson, PA-C
NPI 1922732452ActiveIndividual· Physician Assistant· Edina, MN
Physician Assistant (PA-C) in Edina, Minnesota, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2023). 90 Medicare patients in 2024, $10,369 paid; nearly all of their 340 Part D prescriptions were generic (96%).
Overview
| NPI | 1922732452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 11, 2022 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14703 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 169 across 20 procedure codes |
| Paid by Medicare | $10,369 |
Part D prescriptions in 2024
| Prescriptions (claims) | 340 · 354 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $4,375 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- North Memorial Health CareRobbinsdale, MN · 504 clinicians
Hospital affiliations
- Cuyuna Regional Medical CenterCrosby, MN
- Maple Grove HospitalMaple Grove, MN
- North Memorial Health HospitalRobbinsdale, MN
Other facilities
- Centerwell Home HealthHome health agency · Brooklyn Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 148 physician assistants in Edina · All physician assistants in Minnesota