DR. TESSA C JOHNSTON (O. D.) – Optometrist, NPI 1174620835

DR. TESSA C JOHNSTON (O. D.) is a healthcare provider. based in Medford, Oregon. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 3177AT (OR). The NPI Number for DR. TESSA C JOHNSTON (O. D.) is 1174620835

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TESSA C JOHNSTON (O. D.)
NPI
1174620835
Phone
(541) 779-2211
Address
935 ROYAL AVE
Enumeration Date
17 September 2006
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5417792020
Graduation Year
2006 (20 years ago)
PAC ID
4082611181
Group Practice PAC ID
7517952344
Professional Enrollment ID
I20061102000578
Address ID
OR975048279ME1408XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

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Provider Addresses for DR. TESSA C JOHNSTON (O. D.)

  • Eyecare Associates of Southern Oregon, 935, Royal Avenue, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975046140

    Phone: (541) 779-2211

    Fax: (541) 779-8778

    Type: Mailing

  • 880 GOLF VIEW DR

    SUITE 101

    MEDFORD, OR 97504

    Phone: (541) 779-3797

    Fax: (541) 608-2138

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $438.

Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($231).

Total Amount

$438

General + Research + Ownership

Payments

19

Total payment records

General Amount

$438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2006-11-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061102000578IOptometryORTBD

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
92014Established patient complete exam of visual system172170$0
92250Photography of the retina5453$0
92004New patient complete exam of visual system4141$0
99213Established patient office or other outpatient visit, 20-29 minutes3531$0
92012Established patient problem focused exam of visual system3025$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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Provider's Procedures

DR. TESSA C JOHNSTON (O. D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOR92083Measurement of field of vision during daylight conditions2120

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: 7517952344View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
-OR
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YOR
-OR

Reviews

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Frequently asked questions

How do I look up DR. TESSA C JOHNSTON (O. D.) by NPI?
Use NPI 1174620835 when you need to reference DR. TESSA C JOHNSTON (O. D.) in forms, claims, or directories.
Is DR. TESSA C JOHNSTON (O. D.) active in the national directory?
DR. TESSA C JOHNSTON (O. D.)'s public NPI profile is in an active state.
What does DR. TESSA C JOHNSTON (O. D.) treat or focus on?
Patients typically see DR. TESSA C JOHNSTON (O. D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. TESSA C JOHNSTON (O. D.)?
The snapshot lists Medford, Oregon for DR. TESSA C JOHNSTON (O. D.); download NPPES for the complete set.
How can I contact DR. TESSA C JOHNSTON (O. D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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