JAMES MATTHEW ROUSE (M.D.) – Ophthalmology Physician, NPI 1083877369
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
429 OPHTHALMOLOGY in TN
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Provider Addresses for JAMES MATTHEW ROUSE (M.D.)
Alcoa Highway, Fort Sanders, Knoxville, Knox County, Tennessee, 37920, United States
KNOXVILLE, TN 379201508
Phone: (865) 244-2030
Fax: (865) 684-1196
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $748.
Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($291).
Total Amount
$748
General + Research + Ownership
Payments
33
Total payment records
General Amount
$748
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $291 |
| Johnson & Johnson Surgical Vision, Inc. | $142 |
| RxSight Inc | $116 |
| Sight Sciences, Inc. | $45 |
| Alcon Vision LLC | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110718000114 | I | Ophthalmology | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 773 | 754 | $0 |
| 92012 | Established patient problem focused exam of visual system | 679 | 555 | $0 |
| 92133 | Imaging of optic nerve | 568 | 559 | $0 |
| 92083 | Exam of visual field with extended testing | 461 | 452 | $0 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 433 | 149 | $0 |
Insurance plans in this area (ZIP 37920)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| - | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P T O M E T R Y | KY | |
| O P H T H A L M O L O G Y | KY |
Reviews
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