DR. SHAWN KENNETH JOHNSTON OD
NPI 1952754202
Optometrist in Gilmer, TX
About Dr. Shawn Kenneth Johnston Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN KENNETH JOHNSTON OD (NPI 1952754202) is an individual optometrist in Gilmer, Texas, licensed in Texas (9042T) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shawn Kenneth Johnston Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shawn Johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gilmer, TX 75644
- Reassigned Medicare billing, Texas enrollment
Kilgore, TX 75662
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75644 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shawn Johnston's NPI number?
The NPI number for Shawn Johnston is 1952754202. It was assigned to this individual provider in the NPPES registry on July 21, 2016.
Where is Shawn Johnston located?
Shawn Johnston practices at 101 Simpson St, Gilmer, TX 75644. The listed phone number is (903) 843-5400.
What is Shawn Johnston's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Shawn Johnston enrolled in Medicare?
Yes. Shawn 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.
Which organizations bill Medicare for Shawn Johnston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Johnston reassigns Medicare benefits to 2 organizations: Shawn Johnston Od PLLC (Gilmer, TX) and Kilgore-Gilmer Eye Care Centers P.A. (Kilgore, TX). 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 Shawn Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Johnston accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 14 other insurers list Shawn 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.
When was this NPI record last updated?
The NPPES record for Shawn Johnston was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Shawn Kenneth Johnston, OD · NPI 1952754202
Optometrist provider in Gilmer, Texas. Individual provider, active in the CMS NPPES registry since July 21, 2016.
## Identity
- **NPI:** 1952754202 (Entity type: Individual)
- **Enumerated:** July 21, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 9042T (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 SIMPSON ST, Gilmer, TX 75644-2231
- **Phone:** (903) 843-5400 · **Fax:** (903) 843-5101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shawn Johnston Od PLLC (NPI 1588547004, Gilmer, TX); Kilgore-Gilmer Eye Care Centers P.A. (NPI 1184655649, Kilgore, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 21, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1952754202) · Data from the CMS NPPES public registry.