DR. TRAVIS M. JOHNSON (O.D.) – Optometrist, NPI 1003890609
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
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Provider Addresses for DR. TRAVIS M. JOHNSON (O.D.)
247, Plum Tree Lane, Somerset, Saint Croix County, Wisconsin, 54025, United States
SOMERSET, WI 540257578
Phone: (651) 230-3554
Fax: (651) 439-6405
Type: Mailing
13481, 60th Street North, Oak Park Heights, Washington County, Minnesota, 55082, United States
SUITE 200
STILLWATER, MN 550821055
Phone: (651) 439-6400
Fax: (651) 439-6405
Type: Location
2125 ROCK SPRINGS MIDLAND RD
CHRISTIANA, TN 370375357
Phone: (651) 230-3554
Type: Mailing
140 JOE B JACKSON PKWY
MURFREESBORO, TN 371277228
Phone: (615) 203-9165
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $9,769.
Total Amount is formed as General ($9,769) + Research ($0) + Ownership ($0) = $9,769.
Last reported payment date: 2023-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($9,769).
Total Amount
$9,769
General + Research + Ownership
Payments
53
Total payment records
General Amount
$9,769
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $9,769 |
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: 2015-02-23
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 |
|---|---|---|---|---|
| I20150223001418 | I | Optometry | TN | 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 | 45 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 20 | $0 |
| 92014 | Established patient complete exam of visual system | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 54025)
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