Michael David Patterson, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DO2931 Issued in TN

Practice address

15 Iris LN
Crossville, TN 38555-7528

Phone

(931) 456-2728

Fax

(931) 456-5446

NPI assigned

Jun 25, 2012

Last updated

Jul 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Tennessee, LLCGroup PAC ID 1355379256, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpatterson@ecotn.intellechartdirect.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tennessee Primary Care, LLC

  • Rural Health Clinic/Center
  • Cookeville, TN
  • NPI 1669367322

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Centers of Tennessee, LLC

  • Ophthalmology Physician
  • Crossville, TN
  • NPI 1104940790
  Medicare reassignment Care Compare group NPD
• Tennessee Primary Care, LLC

  • Rural Health Clinic/Center
  • Cookeville, TN
  • NPI 1669367322
  NPD Authorized official
• Cataract and Laser Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Crossville, TN
  • NPI 1568431054
  NPD
• Eye Centers of Tennessee, LLC

  • Ophthalmology Physician
  • Cookeville, TN
  • NPI 1093337503
  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Cookeville, TN
  • NPI 1548013832
  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Cookeville, TN
  • NPI 1902920507

  Ophthalmology

  NPD
• Eye Centers of Tennessee, LLC

  • Optometrist
  • Jamestown, TN
  • NPI 1932224128

  Ophthalmology

  NPD
• Tennessee Primary Care, LLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1760251946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1851654867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 IRIS LN",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557528",
            "telephone_number": "931-456-2728",
            "fax_number": "931-456-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 IRIS LN",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557528",
            "telephone_number": "931-456-2728",
            "fax_number": "931-456-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL1589",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "DO2931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021938",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vernon Terry Palmer, LPC/MHSP
• Nicholas Campbell Parker, PA-C
• Deidre Ann-Yvonne Parks, RN
• Anjali Sunilkumar Patel, FNP-C
• Larry E. Patterson, M.D.
• Rachel M Patton, RN
• Teresa Jean Payne, LCSW
• Catherine Clair Pearce, RN
• Kimberly S Peaslee, M.D.
• James Howell Peebles III, D.D.S.

• Ophthalmology Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.