CAROL H JOHNSON OD
NPI 1073591939
Optometrist in Minneapolis, MN

Active since January 02, 2006PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
909 FULTON ST SE, MINNEAPOLIS, MN 55455(763) 782-6400 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2023, Nov 10, 2020 (2 updates tracked since 2020).

About Carol H Johnson Od NPPES

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

CAROL H JOHNSON OD (NPI 1073591939) is an individual optometrist in Minneapolis, Minnesota, licensed in Minnesota (2134) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1987).

NPPES Registry Identity

NPI1073591939
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCAROL H JOHNSONCredential: OD
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-1166
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1987
Enumeration DateJanuary 2, 2006
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
NPI 1073591939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MN · 2134
Definition
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.
909 FULTON ST SE, Minneapolis, MN 55455

Other Identifiers 1

Medicaid339523500MN

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

Carol H Johnson Od 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 ID6507766367
PECOS Enrollment IDI20040109000508
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 2

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients
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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455

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 Carol Johnson's NPI number?

The NPI number for Carol Johnson is 1073591939. It was assigned to this individual provider in the NPPES registry on January 2, 2006.

Where is Carol Johnson located?

Carol Johnson practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (763) 782-6400.

What is Carol Johnson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Carol Johnson enrolled in Medicare?

Yes. Carol 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 Carol Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica and Sanford Health Plan list Carol 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.

When was this NPI record last updated?

The NPPES record for Carol Johnson was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.