SANDRA MARIE JOHNSON (M.D.) – Glaucoma Specialist (Ophthalmology) Physician, NPI 1730198714

SANDRA MARIE JOHNSON (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. ME133380 (FL). The NPI Number for SANDRA MARIE JOHNSON (M.D.) is 1730198714

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA MARIE JOHNSON (M.D.)
NPI
1730198714
Phone
(573) 884-3300
Address
PO BOX 843966
Enumeration Date
7 August 2006
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5738824141
Graduation Year
1989 (37 years ago)
PAC ID
4183526726
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20201028002606
Address ID
MO652120001CO1XXXXDRXX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

565 OPHTHALMOLOGY in VA

Provider Addresses for SANDRA MARIE JOHNSON (M.D.)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • Uva Hospital

    Hospital Drive, 2nd Floor

    Charlottesville, VA 229080001

    Phone: (434) 924-5485

    Fax: (434) 924-5180

    Type: Location

  • 13330 Usf Laurel Dr

    Tampa, FL 336126601

    Phone: (813) 974-2201

    Type: Location

  • 148 13th St SW

    Largo, FL 337703127

    Phone: (727) 581-8706

    Fax: (727) 588-2447

    Type: Location

  • 1 HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 882-1506

    Fax: (573) 884-5575

    Type: Location

  • Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652120001

    Phone: (573) 882-1506

    Fax: (573) 884-5575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $3,535.

Total Amount is formed as General ($3,535) + Research ($0) + Ownership ($0) = $3,535.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($1,413).

Total Amount

$3,535

General + Research + Ownership

Payments

60

Total payment records

General Amount

$3,535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-10-28

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
I20201028002606IOphthalmologyMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes536307$0
92133Imaging of optic nerve285233$0
92083Exam of visual field with extended testing268196$0
99213Established patient office or other outpatient visit, 20-29 minutes143119$0
92020Exam of the internal drainage system of eye10289$0
View full utilization report →

Insurance plans in this area (ZIP 64184)

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Provider's Procedures

SANDRA MARIE JOHNSON (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient254189
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions162152
OPHTHALMOLOGYFL92134Diagnostic imaging of retina6054

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: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

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Frequently asked questions

What is the standard ID for SANDRA MARIE JOHNSON (M.D.) in the U.S.?
In the U.S., SANDRA MARIE JOHNSON (M.D.) is identified by NPI 1730198714.
Should I treat SANDRA MARIE JOHNSON (M.D.) as an active provider?
Patients and plans typically see SANDRA MARIE JOHNSON (M.D.) as active in the national extract.
How should patients interpret SANDRA MARIE JOHNSON (M.D.)'s specialty?
The extract shows Glaucoma Specialist (Ophthalmology) Physician for SANDRA MARIE JOHNSON (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SANDRA MARIE JOHNSON (M.D.)?
SANDRA MARIE JOHNSON (M.D.) is associated with Kansas City, Missouri in the same public data insurers reference.
Who maintains SANDRA MARIE JOHNSON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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