npidexNPI registry + Medicare data

JAMES ROUSE, M.D.

Ophthalmology Physician · KNOXVILLE, TN

Individual Active NPI 1083877369

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,0634,390$986,032$467,856$338,615
20231,1054,249$1,010,231$467,422$337,168
20221,1054,478$1,035,539$492,281$351,477

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
92014Established patient complete exam of visual system776$116$76
92012Established patient problem focused exam of visual system732$82$53
92133Imaging of optic nerve571$33$22
99426Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month504$58$45
92083Exam of visual field with extended testing467$57$39
99427Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month230$44$33
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more173$119$83
92136Measurement of corneal curvature and depth of eye166$37$29
66984Removal of cataract with insertion of prosthetic lens159$418$333
92020Exam of the internal drainage system of eye123$25$18
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more78$151$97
66174Dilation of fluid outflow drainage within eye53$564$443

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ophthalmology Physician207W00000X✓046957TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Ophthalmology Physician providers in Tennessee

See all Ophthalmology Physician providers in Tennessee →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.