Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mack Wray Johnson , OD

Optometrist • Guymon, OK

Active NPI 1831107986 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

301 Northridge Cir
Guymon, OK 739422735

Call 5803388437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

301 Northridge Cir

Guymon, OK 739422735

Telephone 5803388437
Fax 5803388361
Organization at the Same NPPES Address or Phone
Guymon Vision Clinic Facility NPI 1386857811

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1995

Medicare patients

573 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $97,897 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $62,585 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

455 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$15,228 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.21 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

31 years (graduated 1995)

CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Guymon and Oklahoma

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Optometrist in Oklahoma (2024, 570 clinicians with data). Median for this group: 395. Middle half: 171 to 778.

Too few clinicians listed under Optometrist in Guymon have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 85% of clinicians listed under Optometrist in Oklahoma (2024, 570 clinicians with data). Median for this group: $30,277. Middle half: $14,370 to $62,604.

Too few clinicians listed under Optometrist in Guymon have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Optometrist in Oklahoma (2024, 570 clinicians with data). Median for this group: $20,572. Middle half: $9,649 to $42,122.

Too few clinicians listed under Optometrist in Guymon have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Optometrist in Oklahoma (2024, 529 clinicians with data). Median for this group: 121. Middle half: 57 to 269.

Too few clinicians listed under Optometrist in Guymon have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Optometrist in Oklahoma (2024, 529 clinicians with data). Median for this group: $9,596. Middle half: $1,308 to $29,647.

Too few clinicians listed under Optometrist in Guymon have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Optometrist with a practice address in Guymon, OK (893 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $18.21.

Manufacturer Payment Nature Product Type Amount ($)
CooperVision Inc.
Food and Beverage
In-kind items and services
MiSight Contact Lens General $18.21

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
350 347 $160.04 $108.29
92250 Photography of the retina
337 334 $94.88 $31.92
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
295 148 $105.00 $78.70
92004 New patient complete exam of visual system
54 54 $175.00 $128.85
66821 Removal of recurring cataract in lens capsule using a laser
40 25 $370.00 $280.64
66984 Removal of cataract with insertion of prosthetic lens
40 28 $259.60 $85.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $145.00 $98.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $150.00 $111.76
92134 Imaging of retina
13 13 $100.00 $35.03
92012 Established patient problem focused exam of visual system
11 11 $120.00 $75.31

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 78 3,166 $829.09 13
Prednisolone Acetate Prednisolone Acetate 60 1,601 $1,665.98 42
Brimonidine Tartrate Brimonidine Tartrate 55 2,501 $2,261.04 —
Timolol Maleate Timolol Maleate 52 2,987 $476.94 11
Cyclosporine Cyclosporine 21 630 $4,701.60 —
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha 19 306 $227.66 15
Doxycycline Hyclate Doxycycline Hyclate 18 219 $146.35 12
Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol 17 371 $2,006.09 —
Lumigan Bimatoprost 12 350 $2,913.55 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES OK 2159

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100764570A (OK)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20120417000548

Enrollment State Jurisdiction

OK

PECOS Control ID

7719908631

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History

NPI enumerated August 04, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1831107986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

301 Northridge Cir

Guymon, OK 739422735

Phone: 5803388437

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.