DR. JAMES JOHNSTON JR. D.O.
NPI 1316940174
Ophthalmology in Tallmadge, OH

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
518 WEST AVE, TALLMADGE, OH 44278(330) 630-9699(330) 630-2173 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Johnston Jr. D.o. NPPES

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

DR. JAMES JOHNSTON JR. D.O. (NPI 1316940174) is an individual ophthalmology provider in Tallmadge, Ohio, licensed in Ohio (4938) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Ohio University, College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1316940174
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES JOHNSTON JR.Credential: D.O.
Location Address518 WEST AVETallmadge, OH 44278-2117
Mailing Address518 West AveTallmadge, OH 44278-2117 · (330) 630-9699 · Fax (330) 630-2173
Fax(330) 630-2173
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1988
Enumeration DateMay 24, 2005
Last NPPES UpdateMarch 19, 2019
NPI 1316940174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 4938
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.
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 4938 (OH)
518 WEST AVE, Tallmadge, OH 44278

Other Identifiers 1

Medicaid0142223OH

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

Dr. James Johnston Jr. D.o. 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 ID8921172503
PECOS Enrollment IDI20080730000555
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 14

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.
384 services243 patients
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.
94 services90 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
90 services30 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.
82 services74 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).
78 services73 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
59 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44278 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 10

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

Ophthalmology
518 WEST AVE
TALLMADGE, OH 44278
Ophthalmology
518 WEST AVE
TALLMADGE, OH 44278
Ophthalmology
518 WEST AVE
TALLMADGE, OH 44278
Nurse Anesthetist, Certified Registered
518 WEST AVE
TALLMADGE, OH 44278
Optometrist
518 WEST AVE
TALLMADGE, OH 44278
Ophthalmology (Retina Specialist)
518 WEST AVE
TALLMADGE, OH 44278
Clinic/Center (Ambulatory Surgical)
518 WEST AVE
TALLMADGE, OH 44278
Ophthalmology (Retina Specialist)
518 WEST AVE
TALLMADGE, OH 44278

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 James Johnston's NPI number?

The NPI number for James Johnston is 1316940174. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is James Johnston located?

James Johnston practices at 518 West Ave, Tallmadge, OH 44278. The listed phone number is (330) 630-9699.

What is James Johnston's specialty?

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

Is James Johnston enrolled in Medicare?

Yes. James 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 James Johnston accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 7 other insurers list James 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.

Is James Johnston affiliated with any hospitals?

According to CMS data, James Johnston is affiliated with Summa Health System and Akron General Medical Center.

When was this NPI record last updated?

The NPPES record for James Johnston was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.