ANDRE MATTHEW AGASSI
NPI 1760019277
Radiology - Diagnostic Radiology in Knoxville, TN

Q: What is Andre Agassi's NPI number?

The NPI number for Andre Agassi is 1760019277. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Andre Agassi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Andre Agassi was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 25, 2020PECOS Enrolled

4820 OLD KINGSTON PIKE, KNOXVILLE, TN 37919(865) 558-9862(865) 584-3478 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2021, Jul 9, 2020, Mar 25, 2020 (3 updates tracked since 2020).

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About Andre Matthew Agassi NPPES

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

ANDRE MATTHEW AGASSI (NPI 1760019277) is an individual diagnostic radiology provider in Knoxville, Tennessee, licensed in Tennessee (76627) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2020).

NPPES Registry Identity

NPI1760019277

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameANDRE MATTHEW AGASSI

Location Address4820 OLD KINGSTON PIKEKnoxville, TN 37919-6424

Mailing Address4820 Old Kingston PikeKnoxville, TN 37919-6424 · (865) 558-9862 · Fax (865) 584-3478

Phone(865) 558-9862

Fax(865) 584-3478

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2020

Enumeration DateMarch 25, 2020

Last NPPES UpdateJune 15, 20263 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1760019277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TN · 76627

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4820 OLD KINGSTON PIKE, Knoxville, TN 37919

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Matthew Agassi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668895293

PECOS Enrollment IDI20260610003071

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37919 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 20

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

JAMES SCOTT SCHAUBERGER M.D.

Radiology (Diagnostic Radiology)