DR. RYAN SCOTT JOHNSON O.D.
NPI 1184653404
Optometrist in Chubbuck, ID

Q: What is Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1184653404. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Ryan Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Johnson was last updated on July 19, 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.

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment

4240 YELLOWSTONE AVE, CHUBBUCK, ID 83202(208) 238-2020(208) 238-2069 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Ryan Scott Johnson O.d. NPPES

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

DR. RYAN SCOTT JOHNSON O.D. (NPI 1184653404) is an individual optometrist in Chubbuck, Idaho, licensed in Idaho (ODP-1037) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific Medical College (2000).

NPPES Registry Identity

NPI1184653404

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RYAN SCOTT JOHNSONCredential: O.D.

Location Address4240 YELLOWSTONE AVEChubbuck, ID 83202-2420

Mailing Address12482 Dallin RdPocatello, ID 83202-5073 · (208) 241-9145 · Fax (208) 238-2069

Phone(208) 238-2020

Fax(208) 238-2069

Sole ProprietorNo

Medical School CMSPacific Medical CollegeGraduated 2000

Enumeration DateJune 30, 2006

Last NPPES UpdateJuly 19, 2021

NPPES CertifiedJuly 19, 2021

✔ NPI 1184653404 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 ID · ODP-1037

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.

4240 YELLOWSTONE AVE, Chubbuck, ID 83202

Open in Google Maps ↗

Other Identifiers 1

Medicaid807153600ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Dr. Ryan Scott 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 ID6901841097

PECOS Enrollment IDI20050620000802

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 11

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.

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.

223 services219 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

143 services143 patients

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.

81 services81 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.

53 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

32 services25 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.

27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83202 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

Leave this field empty

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.

BAIRD OPTICAL PC

Optometrist

4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 238-2020

HENAN LI

Pharmacist

4240 YELLOWSTONE AVE
POCATELLO, ID 83202

Bannock County (208) 237-5091

WAL-MART STORES, INC

Eyewear Supplier

4240 YELLOWSTONE AVE
POCATELLO, ID 83202

Bannock County (208) 237-5090

DR. WILLIAM JORDAN PHARMD

Pharmacist

4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 237-5091

DR. TRAVIS BURTON PHARMD

Pharmacist

4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 237-5091

WALMART INC.

Pharmacy (Community/Retail Pharmacy)

4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 237-5091

MICHAEL L. BAIRD O.D.

Optometrist

4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 238-2020

SCOTT THOMAS

Pharmacist

4240 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 237-5091

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 Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1184653404. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Ryan Johnson located?

Ryan Johnson practices at 4240 Yellowstone Ave, Chubbuck, ID 83202. The listed phone number is (208) 238-2020.

What is Ryan Johnson's specialty?

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

Is Ryan Johnson enrolled in Medicare?

Yes. Ryan 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 Ryan Johnson accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Ryan 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 Ryan Johnson was last updated on July 19, 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.