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DR. SANDRA T DUCKWORTH O.D.
NPI 1427212216
Optometrist in Tullahoma, TN

Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
85.1/100
CMS Quality Rating
926 N JACKSON ST, TULLAHOMA, TN 37388(931) 393-6004(931) 393-4795 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2021, Aug 22, 2017 (2 updates tracked since 2017).

About Dr. Sandra T Duckworth O.d. NPPES

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

DR. SANDRA T DUCKWORTH O.D. (NPI 1427212216) is an individual optometrist in Tullahoma, Tennessee, licensed in Tennessee (2961) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt Tullahoma-harton Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427212216
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SANDRA T DUCKWORTHCredential: O.D.
Location Address926 N JACKSON STTullahoma, TN 37388-2300
Mailing Address926 N Jackson StTullahoma, TN 37388-2300 · (931) 393-6004 · Fax (931) 393-4795
Phone(931) 393-6004
Fax(931) 393-4795
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 11, 2008
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1427212216 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 · 2961✔ Licensed in GA · OPT002474
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.
926 N JACKSON ST, Tullahoma, TN 37388
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Other Identifiers 1

Medicaid1521581TN

Accepted Insurance

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

Dr. Sandra T Duckworth 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 ID4789744962
PECOS Enrollment IDI20110119000401
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 13

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.
266 services261 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.
191 services140 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).
91 services91 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.
75 services70 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.
62 services62 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 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.

85.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost50.33

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.

EYE M D OPHTHALMOLOGY PLLC
Ophthalmology
926 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-6004
EYE ASSOCIATES OPTICAL, LLC.
Technician/Technologist (Optician)
926 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 461-0222
DR. BEN B MAHAN M.D.
Ophthalmology
926 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 393-6004

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 Sandra Duckworth's NPI number?

The NPI number for Sandra Duckworth is 1427212216. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Sandra Duckworth located?

Sandra Duckworth practices at 926 N Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 393-6004.

What is Sandra Duckworth's specialty?

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

Is Sandra Duckworth enrolled in Medicare?

Yes. Sandra Duckworth 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 Sandra Duckworth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan and 1 other insurer list Sandra Duckworth 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 Sandra Duckworth affiliated with any hospitals?

According to CMS data, Sandra Duckworth is affiliated with Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Duckworth was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.