HERBERT J GLATT M.D.
NPI 1467421933
Ophthalmology in Knoxville, TN

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
47.96/100
CMS Quality Rating
1932 ALCOA HWY STE 255, KNOXVILLE, TN 37920(865) 244-2030(865) 684-1196 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2019, Jul 31, 2017, Jun 5, 2017 (3 updates tracked since 2017).

About Herbert J Glatt M.d. NPPES

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

HERBERT J GLATT M.D. (NPI 1467421933) is an individual ophthalmology provider in Knoxville, Tennessee, licensed in Tennessee (019495) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1983).

NPPES Registry Identity

NPI1467421933
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameHERBERT J GLATTCredential: M.D.
Location Address1932 ALCOA HWY STE 255Knoxville, TN 37920-1508
Mailing Address1932 Alcoa Hwy Ste 255Knoxville, TN 37920-1508 · (865) 244-2030 · Fax (865) 684-1196
Fax(865) 684-1196
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1983
Enumeration DateMarch 16, 2006
Last NPPES UpdateJanuary 31, 20193 updates tracked since enumeration
NPI 1467421933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · 019495
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License MD0000019495 (TN)
1932 ALCOA HWY STE 255, Knoxville, TN 37920

Other Identifiers 9

Other0095809TN · Blue Cross Blue Shield
Other0647640Umwa
OtherTN0108John Deere
Other0640843Cigna
Other0840233United Healthcare
Medicaid3047495TN
Other4600069Aetna
Other180009851Railroad Medicare
Other100011734Php

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

Herbert J Glatt M.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 ID4880789932
PECOS Enrollment IDI20100923000587
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 11

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,488 services17 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.
146 services134 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
125 services121 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.
122 services119 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.
65 services65 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.
45 services45 patients

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.

47.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Promoting Interoperability0
Improvement Activities40
Cost19

Other Providers at the Same Location NPPES 12

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

Ophthalmology
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Ophthalmology
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Ophthalmology
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Ophthalmology
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Ophthalmology
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Optometrist
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Ophthalmology
1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920
Ophthalmology
1932 ALCOA HWY STE 255
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 Herbert Glatt's NPI number?

The NPI number for Herbert Glatt is 1467421933. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Herbert Glatt located?

Herbert Glatt practices at 1932 Alcoa Hwy Ste 255, Knoxville, TN 37920. The listed phone number is (865) 244-2030.

What is Herbert Glatt's specialty?

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

Is Herbert Glatt enrolled in Medicare?

Yes. Herbert Glatt 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 Herbert Glatt 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 1 other insurer list Herbert Glatt 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 Herbert Glatt was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.