Active NPI 1184653404 Individual Practitioner Male Practitioner

Dr. Ryan Scott Johnson , OD

Optometrist • Chubbuck, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Johnson, OD is a certified Optometrist practicing in Chubbuck, ID. With approximately 26 years of clinical experience since graduating from Pacific Medical College in 2000, Dr. Johnson delivers high-quality medical care to the local community at 4240 YELLOWSTONE AVE.

Dr. Johnson is affiliated with Alameda Vision Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4240 Yellowstone Ave

Chubbuck, ID 832022420

Telephone 2082382020

Fax 2082382069

Associated Practice Facility / Clinic

🏢 Walmart Inc. Facility NPI 1447277793

Medicare Profile & Education

Medical School

Pacific Medical College

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chubbuck, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs Matches City Avg

City Avg: 26.0 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Chubbuck, ID (385 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (26 Years) 26 Yrs

Chubbuck Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	223	219	$95.00	$33.81
92014 Established patient complete exam of visual system	143	143	$132.00	$115.24
92004 New patient complete exam of visual system	81	81	$156.00	$137.57
66984 Removal of cataract with insertion of lens	53	31	$510.00	$98.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	25	$64.00	$51.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$152.00	$117.91
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$96.00	$83.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$194.00	$153.54
92134 Imaging of retina	17	16	$80.00	$37.05
92133 Imaging of optic nerve	16	15	$80.00	$33.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$132.00	$102.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	199	197	$95.00	$34.25
92014 Established patient complete exam of visual system	144	144	$132.00	$116.50
92004 New patient complete exam of visual system	50	50	$156.00	$138.80
66984 Removal of cataract with insertion of lens	35	21	$510.00	$98.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$64.00	$51.77
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$96.00	$83.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$152.00	$117.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	154	153	$95.00	$34.43
92014 Established patient complete exam of visual system	84	84	$128.43	$117.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$152.00	$119.75
92004 New patient complete exam of visual system	37	37	$152.00	$140.57
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$96.00	$84.48
66984 Removal of cataract with insertion of lens	32	18	$510.00	$99.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$194.00	$155.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$132.00	$103.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$55.82	$52.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	161	161	$223.19	$118.56
99213 Established patient office or other outpatient visit, typically 15 minutes	71	63	$129.07	$84.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	46	$79.13	$52.47
92004 New patient complete exam of visual system	41	41	$252.73	$141.55
92134 Imaging of retina	30	29	$75.00	$38.25
92133 Imaging of optic nerve	21	21	$65.00	$34.64
92083 Exam of visual field with extended testing	20	19	$113.30	$58.52
92250 Photography of the retina	11	11	$95.00	$36.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	384	383	$225.00	$119.66
99213 Established patient office or other outpatient visit, typically 15 minutes	201	160	$130.00	$70.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	82	$80.00	$42.38
92004 New patient complete exam of visual system	117	117	$270.00	$143.28
92134 Imaging of retina	95	91	$75.00	$38.70
92133 Imaging of optic nerve	73	73	$65.00	$35.33
92083 Exam of visual field with extended testing	41	39	$115.00	$58.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$190.00	$93.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	496	496	$225.00	$118.95
99213 Established patient office or other outpatient visit, typically 15 minutes	240	194	$130.00	$69.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	98	$80.00	$41.98
92134 Imaging of retina	154	146	$75.00	$38.62
92004 New patient complete exam of visual system	140	140	$270.00	$142.59
92133 Imaging of optic nerve	78	78	$65.00	$34.85
92083 Exam of visual field with extended testing	50	49	$115.00	$59.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$190.00	$101.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$190.00	$102.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$290.00	$154.91
92136 Measurement of corneal curvature and depth of eye	13	13	$140.00	$38.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	310	309	$292.50	$112.70
99213 Established patient office or other outpatient visit, typically 15 minutes	248	207	$172.46	$64.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	96	$121.81	$38.80
92134 Imaging of retina	117	112	$84.23	$37.07
92004 New patient complete exam of visual system	102	102	$299.41	$135.20
92133 Imaging of optic nerve	63	63	$82.78	$33.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$244.74	$96.17
92083 Exam of visual field with extended testing	35	34	$131.57	$56.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$221.82	$95.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$299.09	$146.72
92136 Measurement of corneal curvature and depth of eye	15	14	$175.00	$44.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	270	267	$211.31	$109.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	133	$84.82	$38.36
99213 Established patient office or other outpatient visit, typically 15 minutes	136	115	$130.09	$64.38
92004 New patient complete exam of visual system	103	103	$215.02	$132.61
92134 Imaging of retina	96	88	$68.53	$36.33
92133 Imaging of optic nerve	40	40	$63.19	$33.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$162.65	$95.52
92083 Exam of visual field with extended testing	28	26	$98.84	$56.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$196.32	$95.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$226.05	$145.37

Medical Specialties & State Licenses

CMS Verified: 2021-07-19

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP-1037

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

Medicaid State Provider ID

807153600 (ID)

Hospital & Practice Group Affiliations

Alameda Vision Inc

1155 Pocatello Creek Rd, Pocatello, ID 832012949

Phone: 2082332020

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Michael Baird , OD

Optometrist

NPI 1457524555

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 19, 2021

Registered at 4240 YELLOWSTONE AVE, CHUBBUCK, ID 832022420 (Tel: 2082382020)

📍

Updated Business Mailing Address July 19, 2021

Registered at 12482 DALLIN RD, POCATELLO, ID 832025073 (Tel: 2082419145)

✅

NPI Profile Active October 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2008

Registered at 246 N 18TH AVE, POCATELLO, ID 832013356 (Tel: 2042344100)

📍

Updated Business Mailing Address October 23, 2008

Registered at 246 N 18TH AVE, POCATELLO, ID 832013356 (Tel: 2042344100)

👤

Provider Name / Credentials Updated October 23, 2008

Recorded as RYAN JOHNSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2008

Optometrist (License #ODP-1037 in ID)

🟢

Initial NPI Registration & Enumeration June 30, 2006

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: 1184653404

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: July 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12482 Dallin Rd

Pocatello, ID 832025073

Phone: 2082419145

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.