DR. JOHN WHITMAN PRENSHAW M.D.
NPI 1164869475
Ophthalmology in Chattanooga, TN

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
91.9/100
CMS Quality Rating
7320 SHALLOWFORD RD, CHATTANOOGA, TN 37421(423) 894-5300 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2022, Aug 5, 2020 (2 updates tracked since 2020).

About Dr. John Whitman Prenshaw M.d. NPPES

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

DR. JOHN WHITMAN PRENSHAW M.D. (NPI 1164869475) is an individual ophthalmology provider in Chattanooga, Tennessee, licensed in Tennessee (65541) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Murray, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1164869475
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN WHITMAN PRENSHAWCredential: M.D.
Location Address7320 SHALLOWFORD RDChattanooga, TN 37421-4941
Mailing Address7305 Jarnigan Rd Ste 100Chattanooga, TN 37421-4875 · (423) 894-5300
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2013
Enumeration DateMay 28, 2013
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1164869475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in TN · 65541 Licensed in NC · 2017-00665 Licensed in GA · 94783
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
7320 SHALLOWFORD RD, Chattanooga, TN 37421

Accepted 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. John Whitman Prenshaw M.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 ID9436393162
PECOS Enrollment IDI20221014000007, I20250506002636
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 16

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.

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.
396 services396 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.
365 services206 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.
269 services260 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.
133 services126 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
106 services106 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.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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.

91.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.16
Promoting Interoperability99
Improvement Activities40
Cost94.68

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
7320 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421

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 John Prenshaw's NPI number?

The NPI number for John Prenshaw is 1164869475. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is John Prenshaw located?

John Prenshaw practices at 7320 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (423) 894-5300.

What is John Prenshaw's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Prenshaw enrolled in Medicare?

Yes. John Prenshaw 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 John Prenshaw accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list John Prenshaw 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.

Is John Prenshaw affiliated with any hospitals?

According to CMS data, John Prenshaw is affiliated with Adventhealth Murray and Fort Loudoun Medical Center.

When was this NPI record last updated?

The NPPES record for John Prenshaw was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.