DR. MICHAEL ADDISON JOHNSON (OD) – Optometrist, NPI 1437125234

DR. MICHAEL ADDISON JOHNSON (OD) is a healthcare provider. based in Roanoke, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618001408 (VA). The NPI Number for DR. MICHAEL ADDISON JOHNSON (OD) is 1437125234

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ADDISON JOHNSON (OD)
NPI
1437125234
Phone
(540) 989-6515
Address
3763 Franklin Rd SW
Enumeration Date
23 February 2006
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
3779502885
Group Practice PAC ID
8729307822
Professional Enrollment ID
I20051212000383
Address ID
VA240122074Ro5049XNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. MICHAEL ADDISON JOHNSON (OD)

  • 3763 Franklin Rd SW

    Roanoke, VA 240142261

    Phone: (540) 989-6515

    Fax: (540) 772-2597

    Type: Location

  • 442 Peppers Fry Rd NW

    Christiansburg, VA 240735780

    Phone: (540) 382-1731

    Fax: (540) 382-2113

    Type: Location

  • 8125 Timberlake Rd

    Lynchburg, VA 245022607

    Phone: (434) 237-2100

    Fax: (434) 239-0220

    Type: Location

  • 1205 W Main St

    Salem, VA 241534709

    Phone: (540) 444-5656

    Fax: (540) 444-5660

    Type: Location

  • Valley View Boulevard, Round Hill Terrace, Roanoke, Salem (city), Virginia, 24012, United States

    ROANOKE, VA 240122075

    Phone: (540) 362-7565

    Fax: (540) 563-0441

    Type: Mailing

  • 5049 VALLEY VIEW BLVD NW

    ROANOKE, VA 240122074

    Phone: (540) 362-7565

    Fax: (540) 563-0441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $657.

Total Amount is formed as General ($657) + Research ($0) + Ownership ($0) = $657.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($305).

Total Amount

$657

General + Research + Ownership

Payments

36

Total payment records

General Amount

$657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2005-12-12

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
I20051212000383IOptometryVATBD

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
66984Removal of cataract with insertion of prosthetic lens4,01531$0
92014Established patient complete exam of visual system318317$0
99213Established patient office or other outpatient visit, 20-29 minutes10286$0
92004New patient complete exam of visual system9191$0
92134Imaging of retina5454$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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Provider's Procedures

DR. MICHAEL ADDISON JOHNSON (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92083Measurement of field of vision during daylight conditions1919

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: 8729307822View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YALBERTA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YNY
-VA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL ADDISON JOHNSON (OD) in U.S. healthcare records?
The official identifier for DR. MICHAEL ADDISON JOHNSON (OD) is NPI 1437125234.
Would DR. MICHAEL ADDISON JOHNSON (OD) appear as active to a payer?
You can treat DR. MICHAEL ADDISON JOHNSON (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. MICHAEL ADDISON JOHNSON (OD)'s focus?
For DR. MICHAEL ADDISON JOHNSON (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MICHAEL ADDISON JOHNSON (OD)?
Travel planning: use Roanoke, Virginia as the reference point for DR. MICHAEL ADDISON JOHNSON (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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