HOLLY PUGH JOHNSON M.D.
NPI 1043261076
Ophthalmology in Raleigh, NC

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
85.23/100
CMS Quality Rating
3320 EXECUTIVE DR, SUITE 111, RALEIGH, NC 27609(919) 876-2427(919) 790-8423 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Pugh Johnson M.d. NPPES

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

HOLLY PUGH JOHNSON M.D. (NPI 1043261076) is an individual ophthalmology provider in Raleigh, North Carolina, licensed in North Carolina (32166) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1986).

NPPES Registry Identity

NPI1043261076
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHOLLY PUGH JOHNSONCredential: M.D.
Location Address3320 EXECUTIVE DR, SUITE 111Raleigh, NC 27609-7445
Mailing Address3320 Executive Dr, Suite 111Raleigh, NC 27609-7445 · (919) 876-2427 · Fax (919) 790-8423
Fax(919) 790-8423
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986
Enumeration DateMay 15, 2006
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 13, 2021
NPI 1043261076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 32166
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.
3320 EXECUTIVE DR, Raleigh, NC 27609

Other Identifiers 1

Medicaid89-46281NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Pugh Johnson M.d. 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 ID42465833
PECOS Enrollment IDI20130228000138
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.

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.
272 services250 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.
270 services218 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
186 services86 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
131 services127 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
102 services67 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
83 services80 patients

Hospital Affiliations CMS Care Compare 2

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

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

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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.

85.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.4
Improvement Activities40
Cost51.58

Other Providers at the Same Location NPPES 20

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

Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Specialist
3320 EXECUTIVE DR, SUITE 218
RALEIGH, NC 27609
Family Medicine
3320 EXECUTIVE DR, SUITE 214
RALEIGH, NC 27609
Clinic/Center (Primary Care)
3320 EXECUTIVE DR, SUITE 214
RALEIGH, NC 27609
Optometrist
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Physical Therapist
3320 EXECUTIVE DR, SUITE 210
RALEIGH, NC 27609
Physical Therapist
3320 EXECUTIVE DR, SUITE 210
RALEIGH, NC 27609

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 Holly Johnson's NPI number?

The NPI number for Holly Johnson is 1043261076. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Holly Johnson located?

Holly Johnson practices at 3320 Executive Dr Suite 111, Raleigh, NC 27609. The listed phone number is (919) 876-2427.

What is Holly Johnson's specialty?

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

Is Holly Johnson enrolled in Medicare?

Yes. Holly 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.

What insurance does Holly Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Holly 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 Holly Johnson affiliated with any hospitals?

According to CMS data, Holly Johnson is affiliated with Rex Hospital and Maria Parham Medical Center.

When was this NPI record last updated?

The NPPES record for Holly Johnson was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.