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DR. SHELBY JOHNSON OD, MPH, FAAO
NPI 1295250587
Optometrist - Pediatrics in Chicago, IL

Active since August 07, 2017PECOS Enrolled
79.72/100
CMS Quality Rating
225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 28, 2025, Oct 31, 2019, Aug 7, 2017 (3 updates tracked since 2017).

About Dr. Shelby Johnson Od, Mph, Faao NPPES

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

DR. SHELBY JOHNSON OD, MPH, FAAO (NPI 1295250587) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (046.012054) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295250587
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. SHELBY JOHNSONCredential: OD, MPH, FAAO
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago AveChicago, IL 60611-2991
Phone(312) 227-4000
Sole ProprietorNo
Enumeration DateAugust 7, 2017
Last NPPES UpdateNovember 28, 20253 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1295250587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License✔ Licensed in IL · 046.012054
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
225 E CHICAGO AVE, Chicago, IL 60611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Shelby Johnson Od, Mph, Faao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Shelby Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lurie Children's Medical Group Inc
Same address
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412
State Of New York Comptrollers Office
713 mi
Optometrist
33 WEST 42ND STREET, CLINICAL ADMINISTRATION
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 216 clinicians in this Medicare group
NPI 1407829856 (212) 938-4030

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.38
Promoting Interoperability88
Improvement Activities40
Cost54.56

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

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 Shelby Johnson's NPI number?

The NPI number for Shelby Johnson is 1295250587. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Shelby Johnson located?

Shelby Johnson practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-4000.

What is Shelby Johnson's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Shelby Johnson enrolled in Medicare?

Yes. Shelby Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelby Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Johnson reassigns Medicare benefits to 2 organizations: Lurie Children's Medical Group Inc (Chicago, IL) and State Of New York Comptrollers Office (New York, NY). 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 Shelby Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Shelby 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 Shelby Johnson was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.