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Tyler J. Johnson, O.D.

NPI 1205810868ActiveIndividual· Optometrist· St Louis Park, MN

Optometrist (O.D.) in St Louis Park, Minnesota, trained at Pacific University - College of Optometry (class of 1991). Their prescriptions cost Medicare Part D more than their services did: $144,164 for 1,243 claims, against $39,467 paid for services in 2024.

Overview

NPI1205810868
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedDec 6, 2005
Last updated in NPPESMar 2, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X2358MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients402
Services billed679 across 10 procedure codes
Paid by Medicare$39,467

Part D prescriptions in 2024

Prescriptions (claims)1,243 · 2,154 30-day fills
Patients283
Total drug cost$144,164
Generic share74% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPacific University - College of Optometry
Graduation year1991
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Optometrist providers in St Louis Park

All Optometrist providers in Minnesota →