DR. RUSSELL MOSS GILLIAM OD
NPI 1689775520
Optometrist in Union City, TN

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
1022 S MILES AVE, UNION CITY, TN 38261(731) 885-1049(731) 885-6488 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Russell Moss Gilliam Od NPPES

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

DR. RUSSELL MOSS GILLIAM OD (NPI 1689775520) is an individual optometrist in Union City, Tennessee, licensed in Tennessee (T1489) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1993).

NPPES Registry Identity

NPI1689775520
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RUSSELL MOSS GILLIAMCredential: OD
Location Address1022 S MILES AVEUnion City, TN 38261-5432
Mailing Address1022 S Miles AveUnion City, TN 38261-5432 · (731) 885-1049 · Fax (731) 885-6488
Fax(731) 885-6488
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1993
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689775520 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 · T1489
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.
1022 S MILES AVE, Union City, TN 38261

Other Identifiers 4

Other0169173TN · Bcbs
Medicare ID-Type Unspecified3943821TN
Medicare UPINU46918
Medicare ID-Type Unspecified3599045TN

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

Dr. Russell Moss Gilliam Od 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 ID6305949645
PECOS Enrollment IDI20070307000295
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 14

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
253 services246 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.
187 services151 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.
179 services113 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).
154 services127 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.
111 services110 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
57 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38261 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.

Referred Medical Equipment & Supplies CMS DME claims

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
1 supplier15 claims15 services$55.32 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 4

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

Optometrist
1022 S MILES AVE
UNION CITY, TN 38261
Optometrist
1022 S MILES AVE
UNION CITY, TN 38261
Optometrist
1022 S MILES AVE
UNION CITY, TN 38261
Optometrist
1022 S MILES AVE
UNION CITY, TN 38261

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 Russell Gilliam's NPI number?

The NPI number for Russell Gilliam is 1689775520. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Russell Gilliam located?

Russell Gilliam practices at 1022 S Miles Ave, Union City, TN 38261. The listed phone number is (731) 885-1049.

What is Russell Gilliam's specialty?

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

Is Russell Gilliam enrolled in Medicare?

Yes. Russell Gilliam 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 Russell Gilliam 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 Russell Gilliam 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 Russell Gilliam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.