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Active NPI 1922236264 Individual Practitioner Male Practitioner

Dr. Kevin Johnson , OD

Optometrist • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Johnson, OD is a certified Optometrist practicing in Springfield, IL. With approximately 17 years of clinical experience since graduating from Indiana University - School Of Optometry in 2009, Dr. Johnson delivers high-quality medical care to the local community at 2709 S KOKE MILL RD.

Dr. Johnson is affiliated with Henderson Eye Center P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2709 S Koke Mill Rd

Springfield, IL 62711

Telephone 2176989477
Fax 2176989474
Associated Practice Facility / Clinic
🏢 Henderson Eye Center P C Facility NPI 1295802981

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -5.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Springfield, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (17 Years) 17 Yrs
Springfield Specialty Average (22.4 Years) 22.4 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
66984 Removal of cataract with insertion of lens
1,261 11 $9.90 $1.14
92014 Established patient complete exam of visual system
495 441 $175.00 $117.46
92134 Imaging of retina
122 114 $100.00 $37.58
92133 Imaging of optic nerve
99 90 $100.00 $33.50
92250 Photography of the retina
98 97 $105.00 $34.20
92012 Established patient problem focused exam of visual system
85 60 $129.00 $82.97
92004 New patient complete exam of visual system
56 56 $195.00 $139.76
92083 Exam of visual field with extended testing
43 43 $120.00 $58.55
92060 Exam to measure eye deviation and range of motion
25 24 $120.00 $58.77
92020 Examination of cornea and iris using lens device and slit lamp
22 21 $108.00 $25.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $145.00 $122.88

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.010236

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.

Hospital & Practice Group Affiliations

Henderson Eye Center P C

2709 S Koke Mill Rd, Springfield, IL 627118194

Phone: 2176989477

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1578624573

Doctor of Optometry

NPI 1730240748

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 23, 2019

Registered at 2709 S KOKE MILL RD, SPRINGFIELD, IL 62711 (Tel: 2176989477)

📍
Updated Business Mailing Address October 23, 2019

Registered at 2709 S KOKE MILL RD, SPRINGFIELD, IL 62711 (Tel: 2176989477)

👤
Provider Name / Credentials Updated October 23, 2019

Recorded as KEVIN JOHNSON, OD

NPI Profile Active June 25, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2009

Registered at 820 E JACKSON ST, MACOMB, IL 614552412 (Tel: 3098334242)

📍
Updated Business Mailing Address June 25, 2009

Registered at 820 E JACKSON ST, MACOMB, IL 614552412 (Tel: 3098334242)

👤
Provider Name / Credentials Updated June 25, 2009

Recorded as KEVIN JOHNSON, O.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2009

Optometrist (License #046.010236 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2009

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: 1922236264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2009
Last Update: October 23, 2019
Sole Proprietor: No

Mailing Address

2709 S Koke Mill Rd

Springfield, IL 62711

Phone: 2176989477

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.