JOHN H. JOHNSON M.D.
NPI 1841581790
Ophthalmology in Brevard, NC

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
79.56/100
CMS Quality Rating
188 MEDICAL PARK DRIVE, SUITE C, BREVARD, NC 28712(828) 884-7320(828) 884-7944 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John H. Johnson M.d. NPPES

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

JOHN H. JOHNSON M.D. (NPI 1841581790) is an individual ophthalmology provider in Brevard, North Carolina, licensed in North Carolina (2016-00694) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Transylvania Regional Hospital, Inc, and is a graduate of Medical University Of South Carolina College Of Medicine (2011).

NPPES Registry Identity

NPI1841581790
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN H. JOHNSONCredential: M.D.
Location Address188 MEDICAL PARK DRIVE, SUITE CBrevard, NC 28712-4188
Mailing Address188 Medical Park Drive, Suite CBrevard, NC 28712-4188 · (828) 884-7320 · Fax (828) 884-7944
Fax(828) 884-7944
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateDecember 8, 2016
NPI 1841581790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 2016-00694 Licensed in NY · 279509-1
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.
188 MEDICAL PARK DRIVE, Brevard, NC 28712

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

John H. Johnson M.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 ID749414167
PECOS Enrollment IDI20160808002612
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 22

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,900 services22 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.
1,373 services1,288 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.
757 services430 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
534 services349 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
520 services47 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).
410 services403 patients

Hospital Affiliations CMS Care Compare

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

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28712 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

79.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability87
Improvement Activities40
Cost42.72

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
25%415 patients1/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
95%290 patients3/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
1%408 patients
Diabetes: Eye Exam
100%286 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
43%100 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,362 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%514 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,419 patients
Patients screened: 99% · 1,419 patients
11%88 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
84%346 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%310 patients
Provide Patients Electronic Access to Their Health Information
94%3,972 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
97%30 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,175 patients
Patients totalRate: 0% · 3,175 patients
0%3,175 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers26 claims26 services$59.89 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims32 services$54.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
188 MEDICAL PARK DRIVE, SUITE C
BREVARD, NC 28712
Ophthalmology
188 MEDICAL PARK DRIVE, SUITE C
BREVARD, NC 28712
Specialist
188 MEDICAL PARK DRIVE, SUITE B
BREVARD, NC 28712

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 John Johnson's NPI number?

The NPI number for John Johnson is 1841581790. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is John Johnson located?

John Johnson practices at 188 Medical Park Drive Suite C, Brevard, NC 28712. The listed phone number is (828) 884-7320.

What is John Johnson's specialty?

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

Is John Johnson enrolled in Medicare?

Yes. John 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 John Johnson accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 4 other insurers list John 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.

Is John Johnson affiliated with any hospitals?

According to CMS data, John Johnson is affiliated with Transylvania Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for John Johnson was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.