DR. PAUL BENJAMIN PRUETT MD
NPI 1164611513
Ophthalmology - Glaucoma Specialist in Knoxville, TN

Q: What is Paul Pruett's NPI number?

The NPI number for Paul Pruett is 1164611513. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Paul Pruett's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Q: When was this NPI record last updated?

The NPPES record for Paul Pruett was last updated on April 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2007PECOS EnrolledAccepts Medicare Assignment

72.51/100

CMS Quality Rating

4528 CHAPMAN HWY, KNOXVILLE, TN 37920(865) 579-3920(865) 579-3963 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2026, Jun 22, 2020, Oct 2, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Paul Benjamin Pruett Md NPPES

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

DR. PAUL BENJAMIN PRUETT MD (NPI 1164611513) is an individual glaucoma specialist in Knoxville, Tennessee, licensed in Tennessee (51282) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2004).

NPPES Registry Identity

NPI1164611513

Entity TypeIndividualMale

Primary Taxonomy207WX0009X

Provider Legal NameDR. PAUL BENJAMIN PRUETTCredential: MD

Location Address4528 CHAPMAN HWYKnoxville, TN 37920-4359

Mailing Address4528 Chapman HwyKnoxville, TN 37920-4359 · (865) 579-3920 · Fax (865) 579-3963

Phone(865) 579-3920

Fax(865) 579-3963

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2004

Enumeration DateOctober 22, 2007

Last NPPES UpdateApril 9, 20264 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1164611513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0009X

License✔ Licensed in TN · 51282

Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Also ListedOphthalmologyTaxonomy 207W00000X · License 060144 (GA), 51282 (TN)

4528 CHAPMAN HWY, Knoxville, TN 37920

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Dr. Paul Benjamin Pruett Md 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 ID2769554989

PECOS Enrollment IDI20140707001074

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 18

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.

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.

1,489 services974 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.

1,124 services1,084 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

919 services887 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

882 services876 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

419 services338 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

266 services129 patients

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.

164 services109 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

102 services102 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

67 services44 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

53 services53 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

44 services36 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

34 services34 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

33 services26 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

27 services26 patients

Injection of medication into eye 66030

This procedure involves administering medication directly into your eye. A tiny needle is used to deliver the drug into the vitreous, a jelly-like substance in the eye. It helps treat conditions like macular degeneration or diabetic retinopathy. It's generally safe and effective.

22 services12 patients

Insertion of initial aqueous fluid drainage device into eye 0449T

This procedure involves placing a small device into your eye to help drain fluid. It's often used for glaucoma management. The device reduces pressure in the eye, helping to prevent vision loss. It's done under anesthesia for your comfort.

18 services17 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

16 services12 patients

Destruction of lens tissue using laser 66710

Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.71

Promoting Interoperability

Improvement Activities

Cost

23.16

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN FRANKLIN MURCHISON JR. M.D.

Ophthalmology (Cornea and External Diseases Specialist)