Active NPI 1831107986 Individual Practitioner Male Practitioner

Dr. Mack Wray Johnson , OD

Optometrist • Guymon, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mack Johnson, OD is a certified Optometrist practicing in Guymon, OK. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Johnson delivers high-quality medical care to the local community at 301 NORTHRIDGE CIR.

Dr. Johnson 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

301 Northridge Cir

Guymon, OK 739422735

Telephone 5803388437

Fax 5803388361

Associated Practice Facility / Clinic

🏢 Guymon Vision Clinic Facility NPI 1386857811

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Guymon, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 22.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Guymon, OK (943 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (31 Years) 31 Yrs

Guymon Specialty Average (31.0 Years) 31.0 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	350	347	$160.04	$108.29
92250 Photography of the retina	337	334	$94.88	$31.92
99213 Established patient office or other outpatient visit, typically 15 minutes	295	148	$105.00	$78.70
92004 New patient complete exam of visual system	54	54	$175.00	$128.85
66821 Removal of recurring cataract in lens capsule using a laser	40	25	$370.00	$280.64
66984 Removal of cataract with insertion of lens	40	28	$259.60	$85.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$145.00	$98.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$150.00	$111.76
92134 Imaging of retina	13	13	$100.00	$35.03
92012 Established patient problem focused exam of visual system	11	11	$120.00	$75.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	367	363	$94.78	$34.39
92014 Established patient complete exam of visual system	344	343	$160.25	$116.51
99213 Established patient office or other outpatient visit, typically 15 minutes	290	159	$104.66	$83.83
92004 New patient complete exam of visual system	54	54	$175.00	$138.67
66984 Removal of cataract with insertion of lens	54	34	$259.85	$90.82
66821 Removal of recurring cataract in lens capsule using a laser	49	35	$369.18	$302.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	24	$70.00	$52.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$150.00	$118.93
92134 Imaging of retina	22	21	$100.00	$37.12
92133 Imaging of optic nerve	22	19	$100.00	$32.76
92012 Established patient problem focused exam of visual system	17	15	$120.00	$82.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$143.67	$104.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	352	350	$74.90	$34.49
92014 Established patient complete exam of visual system	333	332	$154.95	$117.69
99213 Established patient office or other outpatient visit, typically 15 minutes	213	139	$85.00	$83.44
92004 New patient complete exam of visual system	62	62	$155.00	$139.85
66984 Removal of cataract with insertion of lens	61	39	$232.00	$99.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	30	$65.00	$52.73
66821 Removal of recurring cataract in lens capsule using a laser	34	24	$350.00	$306.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$130.00	$117.44
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$73.06	$26.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$125.00	$104.94
92134 Imaging of retina	16	16	$80.00	$37.61
92133 Imaging of optic nerve	12	12	$80.00	$34.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	368	367	$75.00	$36.64
92014 Established patient complete exam of visual system	327	325	$154.04	$118.85
99213 Established patient office or other outpatient visit, typically 15 minutes	244	127	$85.16	$84.86
66984 Removal of cataract with insertion of lens	58	37	$232.00	$101.60
92004 New patient complete exam of visual system	56	56	$155.00	$141.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	29	$65.00	$52.84
66821 Removal of recurring cataract in lens capsule using a laser	39	29	$350.00	$300.02
92134 Imaging of retina	26	26	$80.00	$38.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$127.63	$121.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$125.00	$106.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	315	308	$75.00	$42.14
92014 Established patient complete exam of visual system	255	251	$147.18	$119.08
99213 Established patient office or other outpatient visit, typically 15 minutes	238	133	$85.00	$71.21
92004 New patient complete exam of visual system	48	48	$155.00	$142.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	31	$65.00	$42.78
66984 Removal of cataract with insertion of lens	36	26	$232.00	$103.34
66821 Removal of recurring cataract in lens capsule using a laser	28	23	$362.50	$319.77
92134 Imaging of retina	23	22	$75.00	$38.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$130.00	$103.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	316	312	$139.24	$115.54
92250 Photography of the retina	306	294	$75.00	$45.76
99213 Established patient office or other outpatient visit, typically 15 minutes	250	151	$84.64	$68.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	49	$64.67	$41.03
92004 New patient complete exam of visual system	49	49	$154.80	$138.89
66984 Removal of cataract with insertion of lens	46	31	$232.00	$117.68
66821 Removal of recurring cataract in lens capsule using a laser	20	17	$350.00	$302.53
92134 Imaging of retina	16	15	$75.63	$37.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	262	253	$75.00	$49.77
92014 Established patient complete exam of visual system	259	259	$115.52	$112.00
99213 Established patient office or other outpatient visit, typically 15 minutes	195	111	$75.51	$64.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	44	$55.00	$38.94
92004 New patient complete exam of visual system	46	46	$145.00	$134.51
66984 Removal of cataract with insertion of lens	36	21	$232.00	$114.97
92134 Imaging of retina	28	28	$75.00	$36.71
66821 Removal of recurring cataract in lens capsule using a laser	24	20	$350.00	$292.92
92133 Imaging of optic nerve	13	12	$72.23	$33.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	311	306	$114.73	$107.62
99213 Established patient office or other outpatient visit, typically 15 minutes	188	87	$75.00	$64.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	47	$55.00	$37.92
92004 New patient complete exam of visual system	54	54	$145.00	$130.32
92250 Photography of the retina	50	50	$73.56	$55.06
66984 Removal of cataract with insertion of lens	42	29	$232.00	$112.51
92134 Imaging of retina	30	29	$75.17	$35.52
66821 Removal of recurring cataract in lens capsule using a laser	29	28	$350.00	$286.05
92012 Established patient problem focused exam of visual system	25	23	$90.00	$74.16
92133 Imaging of optic nerve	21	20	$75.24	$32.50

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 2159

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

100764570A (OK)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 301 NORTHRIDGE CIR, GUYMON, OK 739422735 (Tel: 5803388437)

📍

Updated Business Mailing Address July 08, 2007

Registered at 301 NORTHRIDGE CIR, GUYMON, OK 739422735 (Tel: 5803388437)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MACK JOHNSON, O.D.

🎓

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

Optometrist (License #2159 in OK)

🟢

Initial NPI Registration & Enumeration August 04, 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. Mack 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: 1831107986

Entity Type:

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

Enumeration Date: August 04, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 Northridge Cir

Guymon, OK 739422735

Phone: 5803388437

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.