BRENDON J JOHNSON (O.D.) – Optometrist, NPI 1194774174
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Loading map...
Provider Addresses for BRENDON J JOHNSON (O.D.)
2611, Broadway Street, Pekin, Tazewell County, Illinois, 61554, United States
PEKIN, IL 615542501
Phone: (309) 347-5989
Fax: (309) 347-4315
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Alcon Vision LLC ($157).
Total Amount
$256
General + Research + Ownership
Payments
7
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $157 |
| Bausch & Lomb Americas Inc. | $78 |
| LKC Technologies, Inc. | $20 |
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: 2004-07-31
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 |
|---|---|---|---|---|
| I20040731000030 | 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 | 236 | 231 | $0 |
| 92083 | Exam of visual field with extended testing | 187 | 115 | $0 |
| 92250 | Photography of the retina | 175 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 108 | $0 |
| 92133 | Imaging of optic nerve | 92 | 75 | $0 |
Insurance plans in this area (ZIP 61554)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IL | 92134 | Diagnostic imaging of retina | 28 | 25 |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.