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DR. JAY MICHAEL JOHNSON O.D.
NPI 1225108103
Optometrist in Gadsden, AL

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
85.62/100
CMS Quality Rating
1413 RAINBOW DR STE 1, GADSDEN, AL 35901(256) 543-8886(256) 546-1094 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jay Michael Johnson O.d. NPPES

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

DR. JAY MICHAEL JOHNSON O.D. (NPI 1225108103) is an individual optometrist in Gadsden, Alabama, licensed in Alabama (S-B35-TA-733) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1225108103
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAY MICHAEL JOHNSONCredential: O.D.
Location Address1413 RAINBOW DR STE 1Gadsden, AL 35901-5392
Mailing Address236 Barrington CirAlexandria, AL 36250-7205 · (256) 892-9399
Phone(256) 543-8886
Fax(256) 546-1094
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 8, 2006
Last NPPES UpdateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1225108103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S-B35-TA-733
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License S-B35-TA-733 (AL)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License S-B35-TA-733 (AL)
1413 RAINBOW DR STE 1, Gadsden, AL 35901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11903 Piedmont CutoffGadsden, AL 35903-2805 · Phone (256) 543-8886 · Fax (256) 546-1094
Location 21411 Piedmont CutoffGadsden, AL 35903-2708 · Phone (256) 493-6300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay 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 ID1658372701
PECOS Enrollment IDI20070116000614, I20250718001480, I20250724004127, I20250725000902, I20250728000091, I20250729002212, I20250729002995
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jay Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr. Michael Johnson & Associates
Same address
Optometrist
1413 RAINBOW DR
Gadsden, AL 35901
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1043596216 (256) 543-8886
Quality Of Life Health Services, Inc
2.3 mi
Community Health
420 N 6TH ST
Gadsden, AL 35901
  • Reassigned Medicare billing, Alabama enrollment
  • 124 clinicians in this Medicare group
NPI 1023069416 (256) 492-0131
Excel Eyecare, LLC
482 mi
Optometrist
200 WHITEMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, Florida, Louisiana, Ohio, Pennsylvania, South Carolina, Texas and West Virginia enrollments
  • 5 clinicians in this Medicare group
NPI 1396592382 (615) 728-1441
Aria Eye Care, LLC
745 mi
Optometrist
10826 OLD MILL RD STE 101
Omaha, NE 68154
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1437436599 (402) 268-0685
Swift Optometry Care PC
919 mi
Optometrist
26 SHENIPSIT LAKE RD
Tolland, CT 06084
  • Reassigned Medicare billing, Florida, Pennsylvania and Texas enrollments
  • 6 clinicians in this Medicare group
NPI 1063753887 (212) 734-6621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
241 services161 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.
59 services57 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.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 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).
28 services21 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

85.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.67
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ERNEST L. BOWLING, OD, MS, FAAO, PC
Optometrist
1413 RAINBOW DR STE 1
GADSDEN, AL 35901
Etowah County (256) 543-8886

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 Jay Johnson's NPI number?

The NPI number for Jay Johnson is 1225108103. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Jay Johnson located?

Jay Johnson practices at 1413 Rainbow Dr Ste 1, Gadsden, AL 35901. The listed phone number is (256) 543-8886.

What is Jay Johnson's specialty?

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

Is Jay Johnson enrolled in Medicare?

Yes. Jay 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.

Which organizations bill Medicare for Jay Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Johnson reassigns Medicare benefits to 5 organizations: Dr. Michael Johnson & Associates (Gadsden, AL), Quality Of Life Health Services, Inc (Gadsden, AL), Excel Eyecare, LLC (Elkins, WV), Aria Eye Care, LLC (Omaha, NE) and Swift Optometry Care PC (Tolland, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Johnson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 21 other insurers list Jay 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 Jay Johnson was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.