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DR. TIMOTHY STEVEN JOHNSON O.D.
NPI 1871629170
Optometrist in Coon Rapids, MN

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
12771 RIVERDALE BLVD NW STE 103, COON RAPIDS, MN 55448(763) 421-1220 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 9, 2017 (2 updates tracked since 2017).

About Dr. Timothy Steven Johnson O.d. NPPES

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

DR. TIMOTHY STEVEN JOHNSON O.D. (NPI 1871629170) is an individual optometrist in Coon Rapids, Minnesota, licensed in Minnesota (MN2741) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Blaine, and is a graduate of Illinois College Of Optometry At Chicago (1999).

NPPES Registry Identity

NPI1871629170
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY STEVEN JOHNSONCredential: O.D.
Location Address12771 RIVERDALE BLVD NW STE 103Coon Rapids, MN 55448-1263
Mailing Address15426 Verdin St NwAndover, MN 55304-4786
Phone(763) 421-1220
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1871629170 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 MN · MN2741
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.
12771 RIVERDALE BLVD NW STE 103, Coon Rapids, MN 55448
Open in Google Maps ↗

Secondary Practice Location 1

Location 1570 Northtown Dr NEBlaine, MN 55434-1043 · Phone (763) 784-4081

Other Identifiers 8

OtherA01991022800MN · Preferred One
Other173057MN · Ucare
Medicaid253223900MN
OtherHP34135MN · Healthpartners
Other22-03191MN · Medica
Other22-03192MN · Medica
OtherMN2741MN · Eyemed
Other186G8JOMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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. Timothy Steven 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 ID1153427489
PECOS Enrollment IDI20070503000280
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55448 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1871629170. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Timothy Johnson located?

Timothy Johnson practices at 12771 Riverdale Blvd NW Ste 103, Coon Rapids, MN 55448. The listed phone number is (763) 421-1220.

What is Timothy Johnson's specialty?

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

Is Timothy Johnson enrolled in Medicare?

Yes. Timothy 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 Timothy Johnson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Timothy 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 Timothy Johnson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.