JEFFERY BLAKE JOHNSON (OD) – Optometrist, NPI 1013229442
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
422 OPTOMETRY in AR
Provider Addresses for JEFFERY BLAKE JOHNSON (OD)
3805 WEST 28TH
PINE BLUFF, AR 71603
Phone: (870) 536-4100
Fax: (870) 536-9020
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Alcon Vision LLC ($210).
Total Amount
$322
General + Research + Ownership
Payments
3
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $210 |
| ABBVIE INC. | $112 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140519001116 | I | Optometry | AR | TBD |
| I20190930002509 | I | Optometry | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 149 | 138 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 85 | $0 |
| 92014 | Established patient complete exam of visual system | 105 | 96 | $0 |
| 92004 | New patient complete exam of visual system | 68 | 68 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 71603)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | AR | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 141 | 134 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR | |
| O P T O M E T R Y | AR |
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