Deactivated NPI 1902804875 Deactivated / Inactive NPI Male Practitioner

Dr. C Stephen Johnson , OD FAAO

Optometrist • San Ramon, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. C Stephen Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2005

NPI Deactivation Date March 16, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. C Stephen Johnson, OD FAAO was a registered Optometrist practicing in San Ramon, CA. Throughout an active medical career spanning 1 years, Dr. Johnson provided care at the practice location at 2551 SAN RAMON VALLEY BLV until profile deactivation on 2006-03-16.

Historical Medicare Part B clinical services included photography of the retina, established patient complete exam of visual system, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2551 San Ramon Valley Blv
Ste 101

San Ramon, CA 945831661

Telephone 9257431222

Fax 9257431221

Associated Practice Facility / Clinic

🏢 Optometric Center And Eyewear Galleria Facility NPI 1972901684

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in San Ramon, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.2 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

23 Specialists

Practicing in San Ramon, CA (8588 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	50	50	$100.00	$56.47
92014 Established patient complete exam of visual system	31	29	$185.00	$155.47
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$135.00	$89.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$95.00	$55.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	64	63	$100.00	$63.15
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$135.00	$87.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$95.00	$54.39
92081 Exam of visual field with limited testing	20	20	$60.00	$37.56
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	12	12	$129.17	$101.23
92283 Extended color vision examination	11	11	$82.27	$59.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	67	$131.89	$83.44
92250 Photography of the retina	85	85	$101.35	$69.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	67	$95.00	$51.43
92081 Exam of visual field with limited testing	29	29	$60.00	$37.23
92283 Extended color vision examination	27	25	$71.67	$60.10
92275 Recording of retinal electrical responses to external stimuli	24	22	$217.92	$183.90
76514 Ultrasound scan of cornea to determine thickness	20	20	$20.00	$16.65
92025 Ct scan of cornea	19	19	$57.37	$44.28
92132 Imaging of front third of eye	19	19	$78.16	$33.68
92134 Imaging of retina	18	16	$81.67	$45.73
92082 Exam of visual field with intermediate testing	17	15	$85.00	$51.56
95930 Measurement of nerve conduction using visual stimulation testing with report	14	13	$212.14	$86.61
92133 Imaging of optic nerve	14	13	$80.71	$41.09
92083 Exam of visual field with extended testing	12	11	$102.50	$71.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	144	$125.00	$80.29
92250 Photography of the retina	107	101	$105.00	$77.27
92081 Exam of visual field with limited testing	54	54	$60.00	$34.92
92283 Extended color vision examination	48	42	$65.00	$59.89
92275 Recording of retinal electrical responses to external stimuli	45	39	$225.00	$173.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	33	$165.00	$117.61
92134 Imaging of retina	35	29	$95.00	$43.90
92083 Exam of visual field with extended testing	32	30	$110.00	$66.34
92132 Imaging of front third of eye	30	27	$95.00	$31.98
95930 Measurement of nerve conduction using visual stimulation testing with report	30	29	$225.00	$155.37
92133 Imaging of optic nerve	29	28	$95.00	$38.84
92082 Exam of visual field with intermediate testing	22	17	$85.00	$49.71
92285 Photography of content of eyes	21	14	$60.00	$24.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$95.00	$48.74
92025 Ct scan of cornea	17	17	$50.00	$41.46
76514 Ultrasound scan of cornea to determine thickness	17	17	$20.00	$15.57

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 5287T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare Pin#

P00175769 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Richard Lang , OD

Optometrist

NPI 1699347096

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location October 14, 2008

Registered at 2551 SAN RAMON VALLEY BLV, STE 101, SAN RAMON, CA 945831661 (Tel: 9257431222)

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Updated Business Mailing Address October 14, 2008

Registered at 2551 SAN RAMON VALLEY BLV, STE 101, SAN RAMON, CA 945831661 (Tel: 9257431222)

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Provider Name / Credentials Updated October 14, 2008

Recorded as C STEPHEN JOHNSON, OD FAAO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2008

Optometrist (License #5287T in CA)

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NPI Profile Reactivated March 21, 2006

Record officially reactivated for active practice on March 21, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902804875

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2005

Last Update: October 14, 2008

Deactivation Date: March 16, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2551 San Ramon Valley Blv, Ste 101

San Ramon, CA 945831661

Phone: 9257431222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.