DR. LARRY E. PATTERSON M.D.
NPI 1851394241
Ophthalmology in Crossville, TN

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
15 IRIS LN, CROSSVILLE, TN 38555(931) 456-2728(931) 456-5446 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry E. Patterson M.d. NPPES

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

DR. LARRY E. PATTERSON M.D. (NPI 1851394241) is an individual ophthalmology provider in Crossville, Tennessee, licensed in Tennessee (16334) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1988).

NPPES Registry Identity

NPI1851394241
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LARRY E. PATTERSONCredential: M.D.
Location Address15 IRIS LNCrossville, TN 38555-7528
Mailing Address510 Holiday DrCrossville, TN 38555-5821 · (931) 484-2408
Fax(931) 456-5446
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1988
Enumeration DateMay 31, 2005
Last NPPES UpdateApril 10, 2008
NPI 1851394241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · 16334
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.
15 IRIS LN, Crossville, TN 38555

Other Identifiers 4

Medicare UPINA99553TN
Medicare ID-Type Unspecified3031900TN · Individual Medicare
OtherP00132676TN · Railroad Medicare
Medicaid3724242TN

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. Larry E. Patterson 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 ID1052402096
PECOS Enrollment IDI20070806000752
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 20

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
13,140 services58 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.
766 services622 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.
629 services356 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.
567 services253 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
532 services208 patients
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.
322 services184 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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
5 suppliers63 claims63 services$58.00 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims26 services$39.39 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers12 claims23 services$36.03 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers16 claims32 services$51.71 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 8

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

Optometrist
15 IRIS LN
CROSSVILLE, TN 38555
Ophthalmology
15 IRIS LN
CROSSVILLE, TN 38555
Speech-Language Pathologist
15 IRIS LN
CROSSVILLE, TN 38555
Optometrist
15 IRIS LN
CROSSVILLE, TN 38555
Clinic/Center (Ophthalmologic Surgery)
15 IRIS LN
CROSSVILLE, TN 38555
Optometrist
15 IRIS LN
CROSSVILLE, TN 38555
Ophthalmology
15 IRIS LN
CROSSVILLE, TN 38555
Specialist
15 IRIS LN
CROSSVILLE, TN 38555

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 Larry Patterson's NPI number?

The NPI number for Larry Patterson is 1851394241. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Larry Patterson located?

Larry Patterson practices at 15 Iris Ln, Crossville, TN 38555. The listed phone number is (931) 456-2728.

What is Larry Patterson's specialty?

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

Is Larry Patterson enrolled in Medicare?

Yes. Larry Patterson 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 Larry Patterson 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 Larry Patterson 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 Larry Patterson was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.