ROBERT DALE PILKINTON JR. M.D.
NPI 1891739322
Ophthalmology in Nashville, TN

Q: What is Robert Pilkinton's NPI number?

The NPI number for Robert Pilkinton is 1891739322. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Robert Pilkinton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Pilkinton was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

300 20TH AVE N, SUITE 504, NASHVILLE, TN 37203(615) 329-7890(615) 329-7892 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Robert Dale Pilkinton Jr. M.d. NPPES

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

ROBERT DALE PILKINTON JR. M.D. (NPI 1891739322) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Tennessee (26332) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1990).

NPPES Registry Identity

NPI1891739322

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameROBERT DALE PILKINTON JR.Credential: M.D.

Location Address300 20TH AVE N, SUITE 504Nashville, TN 37203-2131

Mailing Address300 20th Ave N, Suite 504Nashville, TN 37203-2131 · (615) 329-7890 · Fax (615) 329-7892

Phone(615) 329-7890

Fax(615) 329-7892

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1990

Enumeration DateJune 15, 2006

Last NPPES UpdateDecember 8, 2011

✔ NPI 1891739322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TN · 26332

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.

300 20TH AVE N, Nashville, TN 37203

Open in Google Maps ↗

Other Identifiers 6

Other3028494TN · Blue Cross Blue Shield

Other0840148TN · United Health Care

Medicare UPINF40010TN

Medicare ID-Type Unspecified3090627

Medicaid3090626TN

Other1031043TN · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Robert Dale Pilkinton Jr. 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 ID4688869217

PECOS Enrollment IDI20111024000257

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 16

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.

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.

735 services463 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.

712 services410 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.

378 services344 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.

335 services335 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

163 services127 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.

150 services118 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.

132 services122 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

126 services126 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).

96 services91 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.

94 services84 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.

86 services74 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

48 services46 patients

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.

45 services42 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

34 services29 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.

25 services25 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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

Individually scored

Leave this field empty

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.

W GARRISON STRICKLAND MD, PC

Psychiatry & Neurology (Neurology)

300 20TH AVE N, SUITE 600
NASHVILLE, TN 37203

Davidson County (615) 284-2214

LINDSAY ANN HOOSE MSN NP

Nurse Practitioner

300 20TH AVE N, SUITE G4
NASHVILLE, TN 37203

Davidson County (615) 284-5098

LINDA K ELROD PA

Physician Assistant

300 20TH AVE N, 7TH FLOOR
NASHVILLE, TN 37203

Davidson County (615) 284-1400

UAP NASHVILLE ENDOSCOPY, LLC

Anesthesiology

300 20TH AVE N
NASHVILLE, TN 37203

Davidson County (615) 284-1335

DR. JAN LEWIS BRANDES MD

Specialist

300 20TH AVE N, SUITE 106
NASHVILLE, TN 37203

Davidson County (615) 284-4680

TAMMY S JACKSON NP

Nurse Practitioner

300 20TH AVE N, STE 301
NASHVILLE, TN 37203

Davidson County (615) 329-0570

DR. JAMES BREVARD HAYNES MD

Internal Medicine (Sleep Medicine)

300 20TH AVE N, SUITE G-8
NASHVILLE, TN 37203

Davidson County (615) 284-7533

STEPHEN J HEYMAN MD

Internal Medicine (Pulmonary Disease)

300 20TH AVE N, 9TH FLOOR
NASHVILLE, TN 37203

Davidson County (615) 284-1400

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 Robert Pilkinton's NPI number?

The NPI number for Robert Pilkinton is 1891739322. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Robert Pilkinton located?

Robert Pilkinton practices at 300 20th Ave N Suite 504, Nashville, TN 37203. The listed phone number is (615) 329-7890.

What is Robert Pilkinton's specialty?

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

Is Robert Pilkinton enrolled in Medicare?

Yes. Robert Pilkinton 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 Robert Pilkinton accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Robert Pilkinton 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 Robert Pilkinton was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.