ERIC WILLIAM JOHNSTON MD
NPI 1114916053
Ophthalmology in Encinitas, CA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
477 N EL CAMINO REAL STE C202, ENCINITAS, CA 92024(760) 631-3500 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Nov 17, 2020, May 16, 2016 (3 updates tracked since 2016).

About Eric William Johnston Md NPPES

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

ERIC WILLIAM JOHNSTON MD (NPI 1114916053) is an individual ophthalmology provider in Encinitas, California, licensed in California (C169344) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1114916053
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameERIC WILLIAM JOHNSTONCredential: MD
Location Address477 N EL CAMINO REAL STE C202Encinitas, CA 92024-1332
Mailing Address1551 Union St Unit 1103San Diego, CA 92101-3445 · (312) 498-4301
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1995
Enumeration DateOctober 13, 2005
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1114916053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · C169344
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.
477 N EL CAMINO REAL STE C202, Encinitas, CA 92024

Other Identifiers 5

Other180042222IL · Railroad Medicare
OtherK19781/203980IL · Railroad Medicare
OtherP00260020/CK6882IL · Dmerc
Medicaid036102349IL
OtherK197778/203979IL · Railroad Medicare

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

Eric William Johnston Md 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 ID3375532385
PECOS Enrollment IDI20201030001360
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 16

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 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.
348 services252 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.
260 services241 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.
199 services194 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.
154 services90 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).
121 services115 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.
121 services109 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost72.08

Other Providers at the Same Location NPPES 11

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

Ophthalmology (Cornea and External Diseases Specialist)
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Ophthalmology
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist (Corneal and Contact Management)
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Ophthalmology
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024
Optometrist
477 N EL CAMINO REAL STE C202
ENCINITAS, CA 92024

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 Eric Johnston's NPI number?

The NPI number for Eric Johnston is 1114916053. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Eric Johnston located?

Eric Johnston practices at 477 N El Camino Real Ste C202, Encinitas, CA 92024. The listed phone number is (760) 631-3500.

What is Eric Johnston's specialty?

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

Is Eric Johnston enrolled in Medicare?

Yes. Eric Johnston 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 Eric Johnston 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 and Providence Health Plan list Eric Johnston 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 Eric Johnston was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.