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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAITLIN PRUSHA PA-C
NPI 1285496661
Physician Assistant in Oak Ridge, TN

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
800 OAK RIDGE TPKE STE C100, OAK RIDGE, TN 37830(865) 483-2288 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Oct 1, 2026 (2 updates tracked since 2026).

About Caitlin Prusha Pa-c NPPES

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

CAITLIN PRUSHA PA-C (NPI 1285496661) is an individual physician assistant in Oak Ridge, Tennessee, licensed in Tennessee (5900) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1285496661
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAITLIN PRUSHACredential: PA-C
Location Address800 OAK RIDGE TPKE STE C100Oak Ridge, TN 37830-6927
Mailing Address3904 Lonas DrKnoxville, TN 37909-3323
Phone(865) 483-2288
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 30, 2024
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1285496661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in TN · 5900✔ Licensed in SC · 6607
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
800 OAK RIDGE TPKE STE C100, Oak Ridge, TN 37830
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Secondary Practice Location 1

Location 1124 Verdae Blvd Ste 300Greenville, SC 29607-3849 · Phone (864) 572-7001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.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

Caitlin Prusha Pa-c 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 ID5799122354
PECOS Enrollment IDI20240319002634
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 Reassignment

Medicare enrollment records show Caitlin Prusha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Tennessee Ear, Nose & Throat Specialists, PC
Same address
Otolaryngology
800 OAK RIDGE TURNPIKE, SUITE C-100
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 12 clinicians in this Medicare group
NPI 1467552216 (865) 483-2288

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

Areas of Expertise CMS Part B claims 6

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.
118 services104 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
83 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
23 services23 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.
17 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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 3

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

JACQUELINE RENEE BOOTH MD
Otolaryngology (Plastic Surgery within the Head & Neck)
800 OAK RIDGE TPKE STE C100
OAK RIDGE, TN 37830
Anderson County (865) 483-2288
DR. CASSANDRA SHEA HALL AU.D.
Audiologist
800 OAK RIDGE TPKE STE C100
OAK RIDGE, TN 37830
Anderson County (865) 482-1086
VIVIAN MANDAS PA
Physician Assistant
800 OAK RIDGE TPKE STE C100
OAK RIDGE, TN 37830
Anderson County (865) 483-2288

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 Caitlin Prusha's NPI number?

The NPI number for Caitlin Prusha is 1285496661. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Caitlin Prusha located?

Caitlin Prusha practices at 800 Oak Ridge Tpke Ste C100, Oak Ridge, TN 37830. The listed phone number is (865) 483-2288.

What is Caitlin Prusha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Caitlin Prusha enrolled in Medicare?

Yes. Caitlin Prusha 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 organization bills Medicare for Caitlin Prusha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Prusha reassigns Medicare benefits to East Tennessee Ear, Nose & Throat Specialists, PC (Oak Ridge, TN). The 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 Caitlin Prusha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Prusha accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Caitlin Prusha 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 Caitlin Prusha affiliated with any hospitals?

According to CMS data, Caitlin Prusha is affiliated with University Health System, Inc and Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Caitlin Prusha was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.