DR. ERIK SWEET MD
NPI 1205285632
Ophthalmology in Knoxville, TN

Active since June 07, 2016PECOS 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: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Jun 22, 2020 (2 updates tracked since 2020).

About Dr. Erik Sweet Md NPPES

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

DR. ERIK SWEET MD (NPI 1205285632) is an individual ophthalmology provider in Knoxville, Tennessee, licensed in Tennessee (61021) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and maintains a secondary practice location in Morristown.

NPPES Registry Identity

NPI1205285632
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ERIK SWEETCredential: MD
Location Address4528 CHAPMAN HWYKnoxville, TN 37920-4359
Mailing Address4528 Chapman HwyKnoxville, TN 37920-4359 · (865) 579-3920 · Fax (865) 579-3963
Fax(865) 579-3963
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1205285632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · 61021
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.
4528 CHAPMAN HWY, Knoxville, TN 37920

Secondary Practice Location 1

Location 13001 W Andrew Johnson HwyMorristown, TN 37814-3614 · Phone (423) 581-0360 · Fax (865) 579-3963

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. Erik Sweet 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 ID5294012316
PECOS Enrollment IDI20200526002197
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 15

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 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.
1,017 services826 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.
553 services454 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.
543 services229 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).
369 services277 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.
354 services334 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.
324 services186 patients

Hospital Affiliations CMS Care Compare

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

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
Quality92.71
Promoting Interoperability91
Improvement Activities40
Cost23.16

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
7 suppliers14 claims14 services$50.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology (Cornea and External Diseases Specialist)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology (Glaucoma Specialist)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Optometrist
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology
4528 CHAPMAN HWY
KNOXVILLE, TN 37920
Ophthalmology (Cornea and External Diseases Specialist)
4528 CHAPMAN HWY
KNOXVILLE, TN 37920

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 Erik Sweet's NPI number?

The NPI number for Erik Sweet is 1205285632. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Erik Sweet located?

Erik Sweet practices at 4528 Chapman Hwy, Knoxville, TN 37920. The listed phone number is (865) 579-3920.

What is Erik Sweet's specialty?

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

Is Erik Sweet enrolled in Medicare?

Yes. Erik Sweet 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 Erik Sweet accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Erik Sweet 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 Erik Sweet affiliated with any hospitals?

According to CMS data, Erik Sweet is affiliated with Morristown Hamblen Hospital Association.

When was this NPI record last updated?

The NPPES record for Erik Sweet was last updated on August 18, 2023. 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.