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MICHAEL LEE PATTERSON O.D.
NPI 1235278540
Optometrist in Lexington, TN

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
34.25/100
CMS Quality Rating
107 LEXINGTON PLZ, LEXINGTON, TN 38351(731) 968-2020(731) 968-2866 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Lee Patterson O.d. NPPES

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

MICHAEL LEE PATTERSON O.D. (NPI 1235278540) is an individual optometrist in Lexington, Tennessee, licensed in Tennessee (OD0000001423) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1992).

NPPES Registry Identity

NPI1235278540
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL LEE PATTERSONCredential: O.D.
Location Address107 LEXINGTON PLZLexington, TN 38351-1505
Mailing AddressPo Box 419Lexington, TN 38351-0419 · (731) 968-2020 · Fax (731) 968-2866
Phone(731) 968-2020
Fax(731) 968-2866
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1992
Enumeration DateFebruary 5, 2007
Last NPPES UpdateDecember 11, 2007
✔ NPI 1235278540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TN · OD0000001423
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.
107 LEXINGTON PLZ, Lexington, TN 38351
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Other Identifiers 9

Other2240165TN · United Healthcare
Medicare PIN3943463
Other0164251TN · Blue Cross Blue Shield
Medicaid3598568TN
Medicare NSC0659250001
Medicare ID-Type Unspecified3598568TN
Other6141TN · Tlc Managed Care Services
Medicare UPINU37017TN
Medicare PIN3943464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Michael Lee Patterson 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 ID3274640776
PECOS Enrollment IDI20110215000966
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 9

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.
321 services320 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.
202 services130 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.
113 services101 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.
83 services71 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.
68 services63 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).
61 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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.

34.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality35
Promoting Interoperability0
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers14 claims14 services$55.49 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims11 services$33.79 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 3

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

ASHLEY M SHULER O.D.
Optometrist
107 LEXINGTON PLZ
LEXINGTON, TN 38351
Henderson County (731) 968-2020
DAVID TODD GOODMAN O.D.
Optometrist
107 LEXINGTON PLZ
LEXINGTON, TN 38351
Henderson County (731) 968-2020
TOTALVISION, PC
Optometrist
107 LEXINGTON PLZ
LEXINGTON, TN 38351
Henderson County (731) 968-2020

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 Michael Patterson's NPI number?

The NPI number for Michael Patterson is 1235278540. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Michael Patterson located?

Michael Patterson practices at 107 Lexington Plz, Lexington, TN 38351. The listed phone number is (731) 968-2020.

What is Michael Patterson's specialty?

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

Is Michael Patterson enrolled in Medicare?

Yes. Michael Patterson 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 Michael Patterson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Michael Patterson 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 Michael Patterson was last updated on December 11, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.