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DR. HEIDI L JOHNSON O.D.,
NPI 1578557443
Optometrist in Marquette, MI

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
2822 VENTURE DR, MARQUETTE, MI 49855(906) 228-4401(906) 225-0460 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Heidi L Johnson O.d., NPPES

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

DR. HEIDI L JOHNSON O.D., (NPI 1578557443) is an individual optometrist in Marquette, Michigan, licensed in Michigan (4901003354) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1990).

NPPES Registry Identity

NPI1578557443
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HEIDI L JOHNSONCredential: O.D.,
Location Address2822 VENTURE DRMarquette, MI 49855-8631
Mailing Address2822 Venture DrMarquette, MI 49855-8631 · (906) 228-4401 · Fax (906) 225-0460
Phone(906) 228-4401
Fax(906) 225-0460
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1990
Enumeration DateSeptember 7, 2005
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1578557443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003354
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 4901003354 (MI)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 4901003354 (MI)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4901003354 (MI)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 4901003354 (MI)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 4901003354 (MI)
2822 VENTURE DR, Marquette, MI 49855
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Other Identifiers 4

Medicare UPINU16957MI
Medicaid3115352MI
Other900E265343MI · Blue Cross Blue Shield Of
Medicare PINP16570001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Heidi L 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 ID244273993
PECOS Enrollment IDI20050606000562
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 9

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 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.
129 services127 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
56 services47 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
56 services49 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.
41 services40 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.
36 services32 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.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.38
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%191 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%80 patients5/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
55%872 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
36%2,714 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%2,714 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,714 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

HORIZON HEALTHWORKS PC
Chiropractor (Neurology)
2822 VENTURE DR, SUITE 2
MARQUETTE, MI 49855
Marquette County (906) 475-5742
STEPHEN HERMAN OD
Optometrist
2822 VENTURE DR
MARQUETTE, MI 49855
Marquette County (906) 228-4401
DR HEIDI JOHNSON OD PC
Optometrist
2822 VENTURE DR
MARQUETTE, MI 49855
Marquette County (906) 228-4401

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 Heidi Johnson's NPI number?

The NPI number for Heidi Johnson is 1578557443. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Heidi Johnson located?

Heidi Johnson practices at 2822 Venture Dr, Marquette, MI 49855. The listed phone number is (906) 228-4401.

What is Heidi Johnson's specialty?

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

Is Heidi Johnson enrolled in Medicare?

Yes. Heidi 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 Heidi Johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Heidi 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 Heidi Johnson was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.