DR. SPENCER JOHNSON O.D.
NPI 1487747408
Optometrist in Draper, UT

Q: What is Spencer Johnson's NPI number?

The NPI number for Spencer Johnson is 1487747408. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Spencer 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 Spencer Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 02, 2006PECOS Enrolled

12357 S 450 E STE 2, DRAPER, UT 84020(801) 572-9804(801) 572-9805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Spencer Johnson O.d. NPPES

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

DR. SPENCER JOHNSON O.D. (NPI 1487747408) is an individual optometrist in Draper, Utah, licensed in Utah (5937796-9934) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487747408

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SPENCER JOHNSONCredential: O.D.

Location Address12357 S 450 E STE 2Draper, UT 84020-8127

Mailing Address12357 S 450 E Ste 2Draper, UT 84020-8127 · (801) 572-9804 · Fax (801) 572-9805

Phone(801) 572-9804

Fax(801) 572-9805

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487747408 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 UT · 5937796-9934

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.

12357 S 450 E STE 2, Draper, UT 84020

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Other Identifiers 1

Medicare UPINV06462UT

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. Spencer Johnson O.d. 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

Medicare enrollment records show Spencer Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Complete Eye Care

19 mi

Optometrist

742 N 530 E
Orem, UT 84097

Reassigned Medicare billing, Utah enrollment
3 clinicians in this Medicare group

NPI 1871950444 (801) 224-4799

Rocky Mountain University Of Health Professions Foundation

25 mi

Physical Therapist

122 E 1700 S BLDG 3
Provo, UT 84606

Reassigned Medicare billing, Utah enrollment
16 clinicians in this Medicare group

NPI 1053174417 (801) 915-5281

Cherokee Nation

903 mi

Multi-Specialty

395200 W 2900 RD
Ochelata, OK 74051

Reassigned Medicare billing, Texas enrollment
1,047 clinicians in this Medicare group

NPI 1871972430 (918) 535-6000

Northeastern State University College Of Optometry

971 mi

Optometrist

1001 N GRAND AVE
Tahlequah, OK 74464

Reassigned Medicare billing, Oklahoma enrollment
96 clinicians in this Medicare group

NPI 1437106333 (918) 458-2109

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 84020 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

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 Spencer Johnson's NPI number?

The NPI number for Spencer Johnson is 1487747408. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Spencer Johnson located?

Spencer Johnson practices at 12357 S 450 E Ste 2, Draper, UT 84020. The listed phone number is (801) 572-9804.

What is Spencer Johnson's specialty?

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

Is Spencer Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Spencer Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Johnson reassigns Medicare benefits to 4 organizations: Complete Eye Care (Orem, UT), Rocky Mountain University Of Health Professions Foundation (Provo, UT), Cherokee Nation (Ochelata, OK) and Northeastern State University College Of Optometry (Tahlequah, OK). 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 Spencer Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Spencer 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 Spencer Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.