ROBERT KEVIN CROSS O.D.
NPI 1346219938
Optometrist - Corneal and Contact Management in Knoxville, TN

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
11124 KINGSTON PIKE STE 127, KNOXVILLE, TN 37934(865) 966-2020 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Kevin Cross O.d. NPPES

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

ROBERT KEVIN CROSS O.D. (NPI 1346219938) is an individual corneal and contact management provider in Knoxville, Tennessee, licensed in Tennessee (01091) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1984).

NPPES Registry Identity

NPI1346219938
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameROBERT KEVIN CROSSCredential: O.D.
Location Address11124 KINGSTON PIKE STE 127Knoxville, TN 37934-2855
Mailing Address11124 Kingston Pike Ste 127Knoxville, TN 37934-2855 · (865) 966-2020
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1984
Enumeration DateMarch 16, 2006
Last NPPES UpdateNovember 15, 2018
NPI 1346219938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in TN · 01091
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
11124 KINGSTON PIKE STE 127, Knoxville, TN 37934

Other Identifiers 7

Other100040719Php
Other2240417United Healthcare
Other3333333Umwa - The Funds
Other3356137Cigna
Other3040215Blue Cross Blue Shield
Medicaid3599815TN
Other410030909Railroad Medicare

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

Robert Kevin Cross 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 ID2466547211
PECOS Enrollment IDI20071009000304
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 5

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.

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.
1,708 services14 patients
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.
40 services40 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.
26 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37934 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.

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 Robert Cross's NPI number?

The NPI number for Robert Cross is 1346219938. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Robert Cross located?

Robert Cross practices at 11124 Kingston Pike Ste 127, Knoxville, TN 37934. The listed phone number is (865) 966-2020.

What is Robert Cross's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Robert Cross enrolled in Medicare?

Yes. Robert Cross 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 Robert Cross 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 4 other insurers list Robert Cross 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 Robert Cross was last updated on November 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.