MR. TROY W JOHNSON (OD) – Optometrist, NPI 1316091887

MR. TROY W JOHNSON (OD) is a healthcare provider. based in Scott air force base, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009783 (IL). The NPI Number for MR. TROY W JOHNSON (OD) is 1316091887

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. TROY W JOHNSON (OD)
NPI
1316091887
Phone
(618) 256-7361
Address
310 W LOSEY ST
Enumeration Date
22 January 2007
Last Update Date
3 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182424141
Graduation Year
2005 (21 years ago)
PAC ID
2567497704
Group Practice PAC ID
7012292147
Professional Enrollment ID
I20050927000993
Address ID
IL628642340MO3000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for MR. TROY W JOHNSON (OD)

  • 310 W LOSEY ST

    SCOTT AIR FORCE BASE, IL 622255250

    Phone: (618) 256-7361

    Fax: (618) 256-7516

    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 9 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: ABBVIE INC. ($107).

Total Amount

$265

General + Research + Ownership

Payments

9

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-09-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050927000993IOptometryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens10,24683$0
66821Removal of recurring cataract in lens capsule using a laser1,99022$0
99213Established patient office or other outpatient visit, 20-29 minutes366279$0
99214Established patient office or other outpatient visit, 30-39 minutes226219$0
92014Established patient complete exam of visual system151151$0
View full utilization report →

Insurance plans in this area (ZIP 62225)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012292147View full group profile
NameSpecialtyState
O P T O M E T R YMO
-MO
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YTX

Reviews

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Frequently asked questions

How is MR. TROY W JOHNSON (OD) identified in CMS data?
CMS-hosted NPPES data lists MR. TROY W JOHNSON (OD) with NPI 1316091887.
Can I rely on MR. TROY W JOHNSON (OD) being an active provider?
As of the registry snapshot, MR. TROY W JOHNSON (OD) is marked active.
What is MR. TROY W JOHNSON (OD)'s specialty?
The listing groups MR. TROY W JOHNSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. TROY W JOHNSON (OD)?
MR. TROY W JOHNSON (OD)'s geographic hint is Scott Air Force Base, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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