ANDREW DAVID JOHNSON (M.D.) – Ophthalmology Physician, NPI 1184072209

ANDREW DAVID JOHNSON (M.D.) is a healthcare provider. based in Cookeville, Tennessee. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 61116 (TN). The NPI Number for ANDREW DAVID JOHNSON (M.D.) is 1184072209

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DAVID JOHNSON (M.D.)
NPI
1184072209
Phone
(931) 650-4100
Address
999 GUARDIAN WAY
Enumeration Date
31 May 2016
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9314562728
Graduation Year
2016 (10 years ago)
PAC ID
7214218163
Group Practice PAC ID
1355379256
Professional Enrollment ID
I20200713002093
Address ID
TN385557528CR15XXXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

429 OPHTHALMOLOGY in TN

Provider Addresses for ANDREW DAVID JOHNSON (M.D.)

  • 999 GUARDIAN WAY

    COOKEVILLE, TN 385011722

    Phone: (931) 650-4100

    Type: Mailing

  • Westchester Court, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765020017

    Phone: (706) 202-9642

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $9,085.

Total Amount is formed as General ($9,085) + Research ($0) + Ownership ($0) = $9,085.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($6,724).

Total Amount

$9,085

General + Research + Ownership

Payments

109

Total payment records

General Amount

$9,085

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2020-07-13

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
I20200713002093IOphthalmologyTNTBD

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
J2777Injection, faricimab-svoa, 0.1 mg32,940101$0
99213Established patient office or other outpatient visit, 20-29 minutes1,475638$0
92134Imaging of retina1,398563$0
92014Established patient complete exam of visual system1,036720$0
67028Injection of drug into eye862168$0
View full utilization report →

Insurance plans in this area (ZIP 38501)

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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: 1355379256View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YTN
-TN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P H T H A L M O L O G YTN
-TN
O P T O M E T R YTN

Reviews

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Frequently asked questions

Can I cross-check ANDREW DAVID JOHNSON (M.D.) using NPI 1184072209?
NPI 1184072209 belongs to ANDREW DAVID JOHNSON (M.D.); compare other details if you need extra assurance.
Is there an active status for ANDREW DAVID JOHNSON (M.D.)?
For scheduling context, ANDREW DAVID JOHNSON (M.D.) is shown as active in the registry.
What kind of doctor is ANDREW DAVID JOHNSON (M.D.)?
ANDREW DAVID JOHNSON (M.D.) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW DAVID JOHNSON (M.D.)?
Travel planning: use Cookeville, Tennessee as the reference point for ANDREW DAVID JOHNSON (M.D.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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