DR. EDITHA JOHNSON (D.O) – Neuro-ophthalmology Physician, NPI 1790165173
Neuro-ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
509 NEUROLOGY in CT
Provider Addresses for DR. EDITHA JOHNSON (D.O)
462 Queen St # 201
Southington, CT 064891801
Phone: (860) 621-6704
Type: Location
85 SEYMOUR ST # 825
HARTFORD, CT 061065501
Phone: (860) 545-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Amgen Inc. ($125).
Total Amount
$192
General + Research + Ownership
Payments
4
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $125 |
| Horizon Therapeutics plc | $42 |
| Celgene Corporation | $25 |
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: 2020-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200826001421 | I | Neurology | CT | 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 |
|---|---|---|---|---|
| 92083 | Exam of visual field with extended testing | 88 | 84 | $0 |
| 92133 | Imaging of optic nerve | 82 | 78 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 64 | 60 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 36 | 36 | $0 |
| 92250 | Photography of the retina | 26 | 26 | $0 |
Insurance plans in this area (ZIP 06489)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CT |
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