Active NPI 1154583185 Individual Practitioner Female Practitioner

Dr. Michelle A Garrett , OD

Optometrist • Middlesboro, KY

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Garrett, OD is a registered Optometrist practitioner in Middlesboro, KY. With approximately 18 years of clinical practice since graduating from Indiana University - School Of Optometry in 2008, Dr. Garrett provides healthcare services at the registered practice location at 1403 CUMBERLAND AVE.

Dr. Garrett is affiliated with Five Rivers Eyecare Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, exam of visual field with extended testing, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1403 Cumberland Ave
Suite A

Middlesboro, KY 40965

Telephone 6062482549

Fax 6062489188

Associated Practice Facility / Clinic

🏢 Southeast Eye Associates, Pllc Facility NPI 1104952928

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Middlesboro, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -5.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Middlesboro, KY (836 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

27.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garrett (18 Years) 18 Yrs

Middlesboro Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	193	190	$125.00	$115.23
92083 Exam of visual field with extended testing	124	94	$95.00	$57.28
92250 Photography of the retina	95	89	$80.00	$31.02
99213 Established patient office or other outpatient visit, typically 15 minutes	78	60	$80.00	$78.63
92134 Imaging of retina	27	26	$80.00	$34.11
92004 New patient complete exam of visual system	27	27	$150.00	$136.92
66984 Removal of cataract with insertion of lens	19	11	$150.00	$98.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	209	209	$125.00	$116.86
92083 Exam of visual field with extended testing	138	110	$95.00	$57.15
92250 Photography of the retina	100	98	$80.00	$31.69
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$80.00	$79.00
92134 Imaging of retina	35	35	$80.00	$34.74
66984 Removal of cataract with insertion of lens	33	20	$150.00	$99.15
92004 New patient complete exam of visual system	29	29	$150.00	$138.96
92133 Imaging of optic nerve	16	16	$80.00	$31.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	146	145	$125.00	$117.18
92083 Exam of visual field with extended testing	113	97	$95.00	$57.69
92250 Photography of the retina	71	70	$80.00	$31.76
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$80.00	$79.05
92004 New patient complete exam of visual system	36	36	$150.00	$137.34
92134 Imaging of retina	31	30	$80.00	$35.22
66984 Removal of cataract with insertion of lens	24	16	$150.00	$95.94
92133 Imaging of optic nerve	14	14	$80.00	$31.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	36	36	$150.00	$112.10
92250 Photography of the retina	29	29	$100.00	$34.55
99213 Established patient office or other outpatient visit, typically 15 minutes	23	13	$100.00	$81.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$140.00	$116.45
92004 New patient complete exam of visual system	12	12	$180.00	$133.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,527	11	$2.84	$1.09
92014 Established patient complete exam of visual system	94	94	$150.00	$112.18
92250 Photography of the retina	67	67	$100.00	$39.58
99213 Established patient office or other outpatient visit, typically 15 minutes	66	45	$100.00	$67.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$140.00	$97.72
92004 New patient complete exam of visual system	31	31	$180.00	$134.28
92083 Exam of visual field with extended testing	28	21	$120.00	$55.30
92133 Imaging of optic nerve	23	20	$95.00	$31.79
92134 Imaging of retina	19	17	$95.00	$35.92
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$65.00	$24.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,152	16	$2.84	$1.27
92014 Established patient complete exam of visual system	94	94	$150.00	$111.66
99213 Established patient office or other outpatient visit, typically 15 minutes	70	40	$100.00	$65.86
92250 Photography of the retina	69	68	$100.00	$44.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$140.00	$96.86
92004 New patient complete exam of visual system	38	38	$180.00	$133.98
92083 Exam of visual field with extended testing	35	29	$120.00	$55.77
92020 Examination of cornea and iris using lens device and slit lamp	33	32	$65.00	$24.62
92133 Imaging of optic nerve	25	22	$95.00	$31.46
92134 Imaging of retina	18	17	$95.00	$36.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	101	101	$141.53	$108.29
92250 Photography of the retina	82	81	$100.00	$48.16
99213 Established patient office or other outpatient visit, typically 15 minutes	71	40	$100.00	$62.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	39	$140.00	$93.15
92004 New patient complete exam of visual system	44	44	$168.07	$130.03
92020 Examination of cornea and iris using lens device and slit lamp	32	32	$65.00	$23.26
92083 Exam of visual field with extended testing	30	28	$120.00	$54.34
92133 Imaging of optic nerve	27	23	$95.00	$30.58
92134 Imaging of retina	21	20	$95.00	$35.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	39	39	$135.00	$106.70
92250 Photography of the retina	32	31	$100.00	$55.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$140.00	$93.58
92004 New patient complete exam of visual system	15	15	$155.00	$129.29
92020 Examination of cornea and iris using lens device and slit lamp	12	11	$65.00	$23.60
92134 Imaging of retina	11	11	$95.00	$35.35

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TN 2814

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi

1851505366 (TN)

Commercial Insurance / Payer ID Medicare Group Ptan

3945636 (TN)

Hospital & Practice Group Affiliations

Five Rivers Eyecare Pllc

115 Hedrick Dr, Newport, TN 378212930

Phone: 4236232020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Lisa Howard , OD

Optometrist

NPI 1124024302

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location November 07, 2018

Registered at 1403 CUMBERLAND AVE, SUITE A, MIDDLESBORO, KY 40965 (Tel: 6062482549)

📍

Updated Business Mailing Address November 07, 2018

Registered at 1403 CUMBERLAND AVE, SUITE A, MIDDLESBORO, KY 40965 (Tel: 6062482549)

👤

Provider Name / Credentials Updated November 07, 2018

Recorded as MICHELLE GARRETT, O.D.

✅

NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2016

Registered at 2561 JACKSBORO PIKE, JACKSBORO, TN 377574847 (Tel: 4235621531)

📍

Updated Business Mailing Address April 28, 2016

Registered at 2561 JACKSBORO PIKE, JACKSBORO, TN 377574847 (Tel: 4235621531)

👤

Provider Name / Credentials Updated April 28, 2016

Recorded as MICHELLE GARRETT, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Optometrist (License #2814 in TN)

🟢

Initial NPI Registration & Enumeration July 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154583185

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 01, 2008

Last Update: November 07, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1403 Cumberland Ave, Suite A

Middlesboro, KY 40965

Phone: 6062482549

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.