DR. MANDY JANE JOHNSON (OD) – Optometrist, NPI 1679539274
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
338 OPTOMETRY in NE
Provider Addresses for DR. MANDY JANE JOHNSON (OD)
220 W 39TH AVE
KEARNEY, NE 68845
Phone: (308) 234-9913
Fax: (308) 234-4006
Type: Mailing
5403 N AVE
KEARNEY, NE 688478514
Phone: (308) 234-9133
Fax: (308) 234-4006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($120).
Total Amount
$181
General + Research + Ownership
Payments
3
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $120 |
| Glaukos Corporation | $44 |
| Alcon Vision LLC | $17 |
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: 2004-11-02
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 |
|---|---|---|---|---|
| I20041102001200 | I | Optometry | NE | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 198 | 190 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 105 | $0 |
| 92014 | Established patient complete exam of visual system | 88 | 88 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 39 | 20 | $0 |
| 92004 | New patient complete exam of visual system | 25 | 25 | $0 |
Insurance plans in this area (ZIP 68845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO |
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