DR. RYAN SCOTT JOHNSON (O.D.) – Optometrist, NPI 1184653404
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
268 OPTOMETRY in ID
Provider Addresses for DR. RYAN SCOTT JOHNSON (O.D.)
12482 DALLIN RD
POCATELLO, ID 832025073
Phone: (208) 241-9145
Fax: (208) 238-2069
Type: Mailing
4240 YELLOWSTONE AVE
CHUBBUCK, ID 832022420
Phone: (208) 238-2020
Fax: (208) 238-2069
Type: Location
246, North 18th Avenue, Pocatello, Bannock County, Idaho, 83201, United States
POCATELLO, ID 832013356
Phone: (204) 234-4100
Fax: (208) 234-4192
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,262.
Total Amount is formed as General ($1,262) + Research ($0) + Ownership ($0) = $1,262.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($587).
Total Amount
$1,262
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $587 |
| Alcon Vision LLC | $184 |
| Oyster Point Pharma, Inc. | $103 |
| CooperVision Inc. | $103 |
| Johnson & Johnson Vision Care, Inc. | $101 |
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: 2005-06-20
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 |
|---|---|---|---|---|
| I20050620000802 | I | Optometry | ID | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 199 | 197 | $0 |
| 92014 | Established patient complete exam of visual system | 144 | 144 | $0 |
| 92004 | New patient complete exam of visual system | 50 | 50 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 35 | 21 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 15 | $0 |
Insurance plans in this area (ZIP 83202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | ID | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 14 | 14 |
| OPTOMETRY | ID | 92083 | Measurement of field of vision during daylight conditions | 36 | 36 |
| OPTOMETRY | ID | 92134 | Diagnostic imaging of retina | 110 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | ID |
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