Active NPI 1699785410 Individual Practitioner Male Practitioner

Dr. Kyle Dale Johnson , OD

Optometrist • Clinton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Johnson, OD is a certified Optometrist practicing in Clinton, MO. With approximately 23 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2003, Dr. Johnson delivers high-quality medical care to the local community at 1104 E OHIO ST.

Dr. Johnson is affiliated with Eyecare Specialties Of Missouri Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, 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

1104 E Ohio St

Clinton, MO 647352458

Telephone 6608647116

Fax 6608647124

Associated Practice Facility / Clinic

🏢 Eyecare Specialties Of Missouri Llc Facility NPI 1053427435

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clinton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -2.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Clinton, MO (1288 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (23 Years) 23 Yrs

Clinton Specialty Average (25.0 Years) 25.0 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
92014 Established patient complete exam of visual system	305	304	$123.08	$112.82
92250 Photography of the retina	210	206	$92.00	$33.12
99213 Established patient office or other outpatient visit, typically 15 minutes	134	93	$85.00	$83.09
92004 New patient complete exam of visual system	94	94	$147.00	$134.23
92134 Imaging of retina	40	38	$65.00	$35.81
92012 Established patient problem focused exam of visual system	37	34	$90.00	$79.42
92083 Exam of visual field with extended testing	35	34	$97.00	$55.76
92020 Examination of cornea and iris using lens device and slit lamp	32	31	$55.00	$24.76
92133 Imaging of optic nerve	32	32	$65.00	$32.52
66984 Removal of cataract with insertion of lens	26	17	$900.00	$97.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	289	289	$123.00	$114.27
92250 Photography of the retina	188	175	$92.00	$33.71
99213 Established patient office or other outpatient visit, typically 15 minutes	120	80	$85.00	$83.04
92004 New patient complete exam of visual system	61	61	$147.00	$135.72
92012 Established patient problem focused exam of visual system	35	31	$90.00	$80.79
92134 Imaging of retina	33	31	$65.00	$36.18
66984 Removal of cataract with insertion of lens	33	20	$900.00	$98.50
92083 Exam of visual field with extended testing	29	28	$97.00	$55.73
92020 Examination of cornea and iris using lens device and slit lamp	26	25	$55.00	$25.29
92133 Imaging of optic nerve	25	24	$65.00	$33.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	286	283	$123.00	$115.62
92250 Photography of the retina	159	156	$92.00	$33.85
99213 Established patient office or other outpatient visit, typically 15 minutes	117	86	$85.00	$84.24
92004 New patient complete exam of visual system	57	57	$147.00	$137.57
92134 Imaging of retina	49	46	$65.00	$36.61
92012 Established patient problem focused exam of visual system	34	31	$90.00	$81.02
92083 Exam of visual field with extended testing	28	26	$97.00	$56.40
92133 Imaging of optic nerve	24	23	$65.00	$33.44
66984 Removal of cataract with insertion of lens	23	18	$900.00	$83.28
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$55.00	$25.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$59.00	$52.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	267	266	$121.76	$116.26
92250 Photography of the retina	158	151	$91.66	$36.01
99213 Established patient office or other outpatient visit, typically 15 minutes	120	92	$85.00	$85.16
92004 New patient complete exam of visual system	72	72	$144.45	$137.50
92134 Imaging of retina	50	45	$65.00	$37.32
92012 Established patient problem focused exam of visual system	33	31	$90.00	$82.48
92133 Imaging of optic nerve	32	25	$65.00	$33.89
92083 Exam of visual field with extended testing	27	26	$97.00	$57.38
92020 Examination of cornea and iris using lens device and slit lamp	26	24	$55.00	$26.04
66984 Removal of cataract with insertion of lens	22	14	$900.00	$101.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	220	220	$110.25	$110.75
92250 Photography of the retina	133	128	$92.00	$41.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	56	$59.00	$42.49
92004 New patient complete exam of visual system	60	60	$110.25	$111.02
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$85.00	$70.91
92134 Imaging of retina	31	28	$65.00	$37.75
92012 Established patient problem focused exam of visual system	27	22	$90.00	$82.59
92083 Exam of visual field with extended testing	26	26	$97.00	$58.06
92133 Imaging of optic nerve	25	22	$65.00	$34.71
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$55.00	$26.24
66984 Removal of cataract with insertion of lens	18	11	$900.00	$104.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	225	224	$110.25	$109.71
92250 Photography of the retina	121	116	$92.00	$46.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	65	$59.00	$41.52
92004 New patient complete exam of visual system	57	57	$110.25	$110.01
92012 Established patient problem focused exam of visual system	50	42	$90.00	$81.96
92020 Examination of cornea and iris using lens device and slit lamp	33	32	$55.00	$26.05
92133 Imaging of optic nerve	32	32	$65.00	$34.55
92134 Imaging of retina	26	24	$65.00	$38.18
66984 Removal of cataract with insertion of lens	25	17	$816.00	$102.20
92083 Exam of visual field with extended testing	25	24	$97.00	$58.69
76514 Ultrasound scan of cornea to determine thickness	11	11	$39.00	$11.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	210	210	$110.25	$108.27
92250 Photography of the retina	124	121	$92.00	$51.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	55	$59.00	$40.36
92004 New patient complete exam of visual system	57	57	$110.25	$108.86
66984 Removal of cataract with insertion of lens	24	17	$812.50	$108.64
92133 Imaging of optic nerve	22	20	$65.00	$34.52
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$55.00	$25.07
92083 Exam of visual field with extended testing	21	19	$97.00	$58.24
92012 Established patient problem focused exam of visual system	19	18	$90.00	$80.61
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$85.00	$68.07
92134 Imaging of retina	16	15	$65.00	$36.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	185	184	$109.80	$106.58
92250 Photography of the retina	128	124	$92.00	$56.09
92004 New patient complete exam of visual system	53	53	$109.80	$105.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	39	$59.00	$38.54
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$85.00	$65.47
92134 Imaging of retina	27	24	$65.00	$34.86
92133 Imaging of optic nerve	25	25	$65.00	$32.93
92020 Examination of cornea and iris using lens device and slit lamp	24	23	$55.00	$24.03
92083 Exam of visual field with extended testing	21	21	$97.00	$53.11
92012 Established patient problem focused exam of visual system	21	18	$90.00	$75.24

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO 2003014755

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License KS 1687

Hospital & Practice Group Affiliations

Eyecare Specialties Of Missouri Llc

1104 E Ohio St, Clinton, MO 647352458

Phone: 6608857116

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2012

Registered at 1104 E OHIO ST, CLINTON, MO 647352458 (Tel: 6608647116)

📍

Updated Business Mailing Address February 07, 2012

Registered at 1516 S 5TH ST E, LOUISBURG, KS 660534186 (Tel: 9132448655)

👤

Provider Name / Credentials Updated February 07, 2012

Recorded as KYLE JOHNSON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Optometrist (License #2003014755 in MO)

🟢

Initial NPI Registration & Enumeration August 08, 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: 1699785410

Entity Type:

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

Enumeration Date: August 08, 2006

Last Update: February 07, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1516 S 5th St E

Louisburg, KS 660534186

Phone: 9132448655

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.