AMY H VINOGRADOV OD
NPI 1164914461
Optometrist in Dandridge, TN

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
334 HIGHWAY 92 S STE 7, DANDRIDGE, TN 37725(865) 397-9991(865) 940-1401 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy H Vinogradov Od NPPES

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

AMY H VINOGRADOV OD (NPI 1164914461) is an individual optometrist in Dandridge, Tennessee, licensed in Tennessee (3537) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164914461
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAMY H VINOGRADOVCredential: OD
Location Address334 HIGHWAY 92 S STE 7Dandridge, TN 37725-4578
Mailing Address334 Highway 92 S Ste 7Dandridge, TN 37725-4578 · (865) 397-9991 · Fax (205) 934-6755
Fax(865) 940-1401
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 1, 2018
Last NPPES UpdateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1164914461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TN · 3537✔ Licensed in AL · T-236-TA-B19
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.
334 HIGHWAY 92 S STE 7, Dandridge, TN 37725

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy H Vinogradov Od 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 ID9931457991
PECOS Enrollment IDI20220118000685
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Vinogradov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Optometrist
334 HIGHWAY 92 S, STE 7
Dandridge, TN 37725
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
619 19TH ST S # JT845
Birmingham, AL 35249
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37725 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 2

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

Optometrist
334 HIGHWAY 92 S STE 7
DANDRIDGE, TN 37725
Optometrist
334 HIGHWAY 92 S STE 7
DANDRIDGE, TN 37725

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 Amy Vinogradov's NPI number?

The NPI number for Amy Vinogradov is 1164914461. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Amy Vinogradov located?

Amy Vinogradov practices at 334 Highway 92 S Ste 7, Dandridge, TN 37725. The listed phone number is (865) 397-9991.

What is Amy Vinogradov's specialty?

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

Is Amy Vinogradov enrolled in Medicare?

Yes. Amy Vinogradov 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.

Which organizations bill Medicare for Amy Vinogradov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Vinogradov reassigns Medicare benefits to 2 organizations: Barnes Vision PLLC (Dandridge, TN) and University Of Alabama At Birmingham (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Vinogradov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Vinogradov accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 9 other insurers list Amy Vinogradov 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 Amy Vinogradov was last updated on January 7, 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.