LEE MICHAEL JOHNSON O.D.
NPI 1104113497
Optometrist in Tillamook, OR

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment
68.46/100
CMS Quality Rating
800 MAIN AVE STE A, TILLAMOOK, OR 97141(503) 842-5568 Get Directions Write a Review

NPPES record last updated: August 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2022, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Lee Michael Johnson O.d. NPPES

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

LEE MICHAEL JOHNSON O.D. (NPI 1104113497) is an individual optometrist in Tillamook, Oregon, licensed in Oregon (AT-4289) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Adventist Health Tillamook, and maintains a secondary practice location in Fort Stewart.

NPPES Registry Identity

NPI1104113497
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEE MICHAEL JOHNSONCredential: O.D.
Location Address800 MAIN AVE STE ATillamook, OR 97141-3760
Mailing Address800 Main Ave Ste ATillamook, OR 97141-3760 · (503) 842-5568
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2011
Enumeration DateJuly 7, 2011
Last NPPES UpdateAugust 21, 20224 updates tracked since enumeration
NPPES CertifiedAugust 21, 2022
NPI 1104113497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · AT-4289 Licensed in GA · 2698
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.
800 MAIN AVE STE A, Tillamook, OR 97141

Secondary Practice Location 1

Location 11061 Harmon AveFort Stewart, GA 31314-5641 · Phone (912) 435-6633

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

Lee Michael Johnson O.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 ID7214188655
PECOS Enrollment IDI20170814002658
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 20

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
345 services265 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.
303 services195 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
292 services219 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.
280 services238 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.
271 services188 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
216 services179 patients

Hospital Affiliations CMS Care Compare

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

Adventist Health Tillamook

Critical Access Hospitals · Tillamook, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381317
Location1000 Third StreetTillamook, OR 97141 · Tillamook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97141 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

68.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.92
Promoting Interoperability85
Improvement Activities40
Cost38.83

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims14 services$47.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
800 MAIN AVE STE A
TILLAMOOK, OR 97141
Optometrist
800 MAIN AVE STE A
TILLAMOOK, OR 97141

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 Lee Johnson's NPI number?

The NPI number for Lee Johnson is 1104113497. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Lee Johnson located?

Lee Johnson practices at 800 Main Ave Ste A, Tillamook, OR 97141. The listed phone number is (503) 842-5568.

What is Lee Johnson's specialty?

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

Is Lee Johnson enrolled in Medicare?

Yes. Lee 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 Lee 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, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Lee 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 Lee Johnson affiliated with any hospitals?

According to CMS data, Lee Johnson is affiliated with Adventist Health Tillamook.

When was this NPI record last updated?

The NPPES record for Lee Johnson was last updated on August 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.