Active NPI 1053363390 Individual Practitioner Male Practitioner

Dr. Thomas Norman Johnson , OD

Optometrist • Centerville, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Johnson, OD is a certified Optometrist practicing in Centerville, IA. With approximately 42 years of clinical experience since graduating from Southern California College Of Optometry in 1984, Dr. Johnson delivers high-quality medical care to the local community at 125 N 13TH ST.

Dr. Johnson maintains professional affiliations with Aeg Iowa Professional Pc, International Eyecare Center Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

125 N 13th St

Centerville, IA 525441705

Telephone 6414374099

Fax 6414370512

Associated Practice Facility / Clinic

🏢 International Eyecare Center Inc Facility NPI 1043558299

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Centerville, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +19.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Centerville, IA (704 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (42 Years) 42 Yrs

Centerville Specialty Average (22.7 Years) 22.7 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	22	22	$130.00	$34.09
92014 Established patient complete exam of visual system	17	17	$165.00	$116.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	12	12	$130.00	$34.57
92014 Established patient complete exam of visual system	11	11	$165.00	$117.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	56	56	$165.00	$119.53
92250 Photography of the retina	24	24	$130.00	$34.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$90.00	$52.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	48	47	$165.00	$120.23
92250 Photography of the retina	17	17	$130.00	$37.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	96	93	$138.44	$119.74
92250 Photography of the retina	38	38	$126.71	$42.43
92133 Imaging of optic nerve	18	15	$88.44	$34.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	127	120	$120.29	$118.56
92250 Photography of the retina	121	117	$125.00	$47.02
92133 Imaging of optic nerve	20	18	$82.00	$34.53
92012 Established patient problem focused exam of visual system	14	14	$85.00	$82.55
92004 New patient complete exam of visual system	13	13	$145.00	$142.56
92134 Imaging of retina	12	12	$82.00	$38.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	195	183	$120.00	$117.96
92250 Photography of the retina	154	146	$125.00	$52.63
92134 Imaging of retina	27	27	$82.00	$39.14
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$120.00	$68.28
92133 Imaging of optic nerve	23	20	$82.00	$34.95
92004 New patient complete exam of visual system	21	21	$145.00	$142.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	13	$136.00	$86.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	154	149	$120.00	$113.30
92250 Photography of the retina	105	104	$125.00	$59.17
92134 Imaging of retina	52	50	$82.00	$37.45
92004 New patient complete exam of visual system	28	28	$144.82	$137.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	25	$149.92	$84.26
92225 Examination of eye by ophthalmoscope with retinal drawing	23	12	$48.00	$24.95
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$120.00	$66.92
92012 Established patient problem focused exam of visual system	20	19	$84.50	$77.87
92133 Imaging of optic nerve	15	15	$82.00	$34.14

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IA 01821

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

1053363390 (IA)

Hospital & Practice Group Affiliations

Aeg Iowa Professional Pc

125 N 13th St, Centerville, IA 525441705

Phone: 6414374099

International Eyecare Center Llc

125 N 13th St, Centerville, IA 525441705

Phone: 6414374099

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Daniel Alletto , OD

Optometrist

NPI 1043668700

Doctor of Optometry

Dr. Nicholas Mccullen , OD

Optometrist

NPI 1376854745

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 22, 2018

Registered at 2445 BROADWAY ST, QUINCY, IL 623013257 (Tel: 2172140299)

✅

NPI Profile Active July 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2008

Registered at 125 N 13TH ST, CENTERVILLE, IA 525441705 (Tel: 6416472666)

📍

Updated Business Mailing Address July 10, 2008

Registered at PO BOX 1045, 125 NORTH 13TH STREET, CENTERVILLE, IA 525448045 (Tel: 6416472666)

👤

Provider Name / Credentials Updated July 10, 2008

Recorded as THOMAS JOHNSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2008

Optometrist (License #01821 in IA)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Johnson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053363390

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: February 22, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2445 Broadway St

Quincy, IL 623013257

Phone: 2172140299

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.