1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Ophthalmology
  6. NPI Profile

ERIK JOHNSON
NPI 1023471455
Ophthalmology in Raleigh, NC

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
2709 BLUE RIDGE RD STE 100, RALEIGH, NC 27607(919) 782-5400(919) 782-1680 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 25, 2022, Aug 2, 2022, Apr 16, 2020 and 3 more (6 updates tracked since 2016).

About Erik Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIK JOHNSON (NPI 1023471455) is an individual ophthalmology provider in Raleigh, North Carolina, licensed in North Carolina (202200554) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023471455
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameERIK JOHNSON
Location Address2709 BLUE RIDGE RD STE 100Raleigh, NC 27607-6462
Mailing Address2709 Blue Ridge Rd Ste 100Raleigh, NC 27607-6462 · (919) 782-5400
Phone(919) 782-5400
Fax(919) 782-1680
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateApril 2, 2016
Last NPPES UpdateMarch 26, 20246 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1023471455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 202200554
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2709 BLUE RIDGE RD STE 100, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11755 S Grand BlvdSaint Louis, MO 63104-1540 · Phone (314) 256-3200
Location 21000 19th St SBirmingham, AL 35205-4804 · Phone (205) 930-0700 · Fax (205) 930-9127

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erik Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880986785
PECOS Enrollment IDI20220718001984
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Erik Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raleigh Ophthalmology PC
Same address
Ophthalmology
2709 BLUE RIDGE RD, SUITE 100
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1801957295 (919) 782-5400
Uab Callahan Eye Hospital Authority
488 mi
Nurse Anesthetist, Certified Registered
1720 UNIVERSITY BLVD
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 129 clinicians in this Medicare group
NPI 1023358850 (205) 325-8100
Alabama Ophthalmology Associates, P.C.
489 mi
Ophthalmology
1000 19TH ST S
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group
NPI 1366484941 (205) 930-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
233 services208 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
202 services170 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
200 services194 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
158 services158 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
98 services87 patients
Biopsy of eyelid 67810
A biopsy of the eyelid is a procedure where a small piece of tissue is taken from your eyelid for examination. It helps identify any abnormal growth like a lump or cyst. It's done under local anesthesia, so you won't feel pain during the process.
60 services60 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability93
Improvement Activities40
Cost49.46

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RALEIGH OPHTHALMIC ASSOCIATES
Ophthalmology
2709 BLUE RIDGE RD STE 100
RALEIGH, NC 27607
Wake County (919) 782-5400
DR. LOGAN MICHAEL SMITH MD
Ophthalmology (Glaucoma Specialist)
2709 BLUE RIDGE RD STE 100
RALEIGH, NC 27607
Wake County (919) 782-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erik Johnson's NPI number?

The NPI number for Erik Johnson is 1023471455. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Erik Johnson located?

Erik Johnson practices at 2709 Blue Ridge Rd Ste 100, Raleigh, NC 27607. The listed phone number is (919) 782-5400.

What is Erik Johnson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Erik Johnson enrolled in Medicare?

Yes. Erik Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Erik Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Johnson reassigns Medicare benefits to 3 organizations: Raleigh Ophthalmology PC (Raleigh, NC), Uab Callahan Eye Hospital Authority (Birmingham, AL) and Alabama Ophthalmology Associates, P.C. (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erik Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Johnson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Erik Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erik Johnson affiliated with any hospitals?

According to CMS data, Erik Johnson is affiliated with Wakemed, Raleigh Campus and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Erik Johnson was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.