DR. ANSEL T JOHNSON (OD) – Optometrist, NPI 1023106309
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
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Provider Addresses for DR. ANSEL T JOHNSON (OD)
12812, Western Avenue, Blue Island, Worth Township, Cook County, Illinois, 60406, United States
BLUE ISLAND, IL 604062118
Phone: (708) 385-0013
Fax: (708) 385-1175
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 65 Open Payments records for all available years, with a total value of $3,517.
Total Amount is formed as General ($3,517) + Research ($0) + Ownership ($0) = $3,517.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Sight Sciences, Inc. ($500).
Total Amount
$3,517
General + Research + Ownership
Payments
65
Total payment records
General Amount
$3,517
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sight Sciences, Inc. | $500 |
| Tarsus Pharmaceuticals, Inc. | $496 |
| Johnson & Johnson Vision Care, Inc. | $473 |
| Alcon Vision LLC | $470 |
| ABBVIE INC. | $406 |
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: 2004-02-03
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 |
|---|---|---|---|---|
| I20040203000531 | I | Optometry | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 275 | 131 | $0 |
| 92285 | Photography of content of eyes | 161 | 91 | $0 |
| 92134 | Imaging of retina | 161 | 101 | $0 |
| 92273 | Measurement of retinal and optic nerve function | 84 | 74 | $0 |
| 92250 | Photography of the retina | 58 | 55 | $0 |
Insurance plans in this area (ZIP 60406)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 235 | 164 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL |
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