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FRANK A CARUSONE O.D.
NPI 1053764803
Optometrist in Knoxville, TN

Active since July 18, 2016PECOS EnrolledAccepts Medicare Assignment
715 CALLAHAN DR, KNOXVILLE, TN 37912(865) 687-1232(865) 687-8256 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frank A Carusone O.d. NPPES

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

FRANK A CARUSONE O.D. (NPI 1053764803) is an individual optometrist in Knoxville, Tennessee, licensed in Tennessee (3296) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2016).

NPPES Registry Identity

NPI1053764803
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameFRANK A CARUSONECredential: O.D.
Location Address715 CALLAHAN DRKnoxville, TN 37912-1302
Mailing Address715 Callahan DrKnoxville, TN 37912-1302 · (865) 687-1232 · Fax (865) 687-8256
Phone(865) 687-1232
Fax(865) 687-8256
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2016
Enumeration DateJuly 18, 2016
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1053764803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TN · 3296✔ Licensed in OH · 007017
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.
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 3296 (TN)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 3296 (TN)
715 CALLAHAN DR, Knoxville, TN 37912
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Frank A Carusone 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 ID6002101474
PECOS Enrollment IDI20220205000089
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.

Areas of Expertise CMS Part B claims 3

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,710 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services27 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37912 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

BRUCE DEVIN GILLILAND O.D.
Optometrist (Low Vision Rehabilitation)
715 CALLAHAN DR
KNOXVILLE, TN 37912
Knox County (865) 687-1232
DR. SETH ALEXANDER RHYNE OD
Optometrist
715 CALLAHAN DR
KNOXVILLE, TN 37912
Knox County (865) 437-3166
DAVID A PATTON O.D.
Optometrist
715 CALLAHAN DR
KNOXVILLE, TN 37912
Knox County (865) 687-1232

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 Frank Carusone's NPI number?

The NPI number for Frank Carusone is 1053764803. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Frank Carusone located?

Frank Carusone practices at 715 Callahan Dr, Knoxville, TN 37912. The listed phone number is (865) 687-1232.

What is Frank Carusone's specialty?

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

Is Frank Carusone enrolled in Medicare?

Yes. Frank Carusone 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 Frank Carusone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Wyoming and 10 other insurers list Frank Carusone 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 Frank Carusone was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.