DR. PATRICK KELLY JOHNSON (M.D.) – Ophthalmology Physician, NPI 1710190939
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
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Provider Addresses for DR. PATRICK KELLY JOHNSON (M.D.)
Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States
COON RAPIDS, MN 554332629
Phone: (763) 421-7420
Fax: (763) 421-0730
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)
No Open Payments data available for this provider.
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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: 2007-08-08
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 |
|---|---|---|---|---|
| I20070808000492 | I | Ophthalmology | MN | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 159 | 88 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 157 | 107 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 96 | $0 |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 49 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 55433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MN |
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