MICHAEL DAVID PATTERSON D.O.
NPI 1851654867
Ophthalmology in Crossville, TN

Active since June 25, 2012PECOS 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: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael David Patterson D.o. NPPES

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

MICHAEL DAVID PATTERSON D.O. (NPI 1851654867) is an individual ophthalmology provider in Crossville, Tennessee, licensed in Tennessee (DO2931) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851654867
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL DAVID PATTERSONCredential: D.O.
Location Address15 IRIS LNCrossville, TN 38555-7528
Mailing Address15 Iris LnCrossville, TN 38555-7528 · (931) 456-2728 · Fax (931) 456-5446
Fax(931) 456-5446
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2012
Last NPPES UpdateJuly 13, 2016
NPI 1851654867 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 · DO2931
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 ListedInternal MedicineTaxonomy 207R00000X · License LL1589 (SC)
15 IRIS LN, Crossville, TN 38555

Other Identifiers 4

Medicare PIN103I182114
MedicaidQ021938TN
Medicare PIN103I182111
Medicare PIN103I187409

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

Michael David Patterson D.o. 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 ID2668762501
PECOS Enrollment IDI20160603002040
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 31

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.
60,960 services175 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.
1,850 services1,240 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.
1,555 services701 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.
1,485 services767 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,044 services229 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.
785 services297 patients

Hospital Affiliations CMS Care Compare

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

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 3

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
4 suppliers61 claims61 services$56.20 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 suppliers17 claims34 services$37.15 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 suppliers22 claims43 services$51.45 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 Michael Patterson's NPI number?

The NPI number for Michael Patterson is 1851654867. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Michael Patterson located?

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

What is Michael Patterson's specialty?

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

Is Michael Patterson enrolled in Medicare?

Yes. Michael 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 Michael Patterson 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 4 other insurers list Michael 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.

Is Michael Patterson affiliated with any hospitals?

According to CMS data, Michael Patterson is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Patterson was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.