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Active NPI 1871629170 Individual Practitioner Male Practitioner

Dr. Timothy Steven Johnson , OD

Optometrist • Coon Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Johnson, OD is a certified Optometrist practicing in Coon Rapids, MN. With approximately 27 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1999, Dr. Johnson delivers high-quality medical care to the local community at 12771 RIVERDALE BLVD NW STE 103.

Dr. Johnson is affiliated with Jd Eyes Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

12771 Riverdale Blvd Nw Ste 103

Coon Rapids, MN 554481263

Telephone 7634211220
Associated Practice Facility / Clinic
🏢 Jd Eyes, Inc Facility NPI 1609292077

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Coon Rapids, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +7.1 yrs vs City Avg
City Avg: 19.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Coon Rapids, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (27 Years) 27 Yrs
Coon Rapids Specialty Average (19.9 Years) 19.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
14 14 $179.00 $128.28
92004 New patient complete exam of visual system
11 11 $199.00 $152.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN MN2741

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
253223900 (MN)
Commercial Insurance / Payer ID Preferred One
A01991022800 (MN)
Commercial Insurance / Payer ID Healthpartners
HP34135 (MN)
Commercial Insurance / Payer ID Bcbs
186G8JO (MN)
Commercial Insurance / Payer ID Medica
22-03191 (MN)
Commercial Insurance / Payer ID Medica
22-03192 (MN)
Commercial Insurance / Payer ID Eyemed
MN2741 (MN)
Commercial Insurance / Payer ID Ucare
173057 (MN)

Hospital & Practice Group Affiliations

Jd Eyes Inc

12654 Riverdale Blvd Nw, Coon Rapids, MN 554486711

Phone: 7634211220

Secondary Practice Locations

570 Northtown Dr Ne

Blaine, MN 554341043

Phone: 7637844081

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1710079892

Doctor of Optometry

Dr. Shannon Veldkamp , OD

Optometrist - Vision Therapy

NPI 1902391626

Doctor of Optometry

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2017

Registered at 12771 RIVERDALE BLVD NW STE 103, COON RAPIDS, MN 554481263 (Tel: 7634211220)

📍
Updated Business Mailing Address November 09, 2017

Registered at 15426 VERDIN ST NW, ANDOVER, MN 553044786

👤
Provider Name / Credentials Updated November 09, 2017

Recorded as TIMOTHY JOHNSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Optometrist (License #MN2741 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 570 NORTHTOWN DR NE, BLAINE, MN 554341043 (Tel: 7637844081)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15426 VERDIN ST NW, ANDOVER, MN 553044786

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY JOHNSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #MN2741 in MN)

🟢
Initial NPI Registration & Enumeration February 23, 2007

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: 1871629170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2007
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

15426 Verdin St Nw

Andover, MN 553044786

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.