NPPES file of Aug 9, 2026

James Matthew Rouse, M.D.

Ophthalmology Physician · Knoxville, TN

James Matthew Rouse, M.D. is an ophthalmology physician with a practice address in Knoxville, Tennessee, and NPI 1083877369, issued on Jul 7, 2008. Check the license (Tennessee 046957, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083877369
Name
James Matthew Rouse
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
046957 TN
Self-reported in NPPES; status is on the state search
Practice location
1932 Alcoa Hwy Ste 255, Knoxville, TN 37920
Phone
(865) 244-2030
Enumerated
Jul 7, 2008
Record last updated
Jan 31, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(865) 684-1196
Medicare enrollment
Enrolled (PECOS I20110718000114); accepts Medicare assignment
Medical or professional school
University Of Tennessee, Hsc, College Of Medicine, 2006
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1932 Alcoa Hwy Ste 255

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Charles Ange, M.D.Ophthalmology Physician1952370843
  2. James Doss, M.D.Ophthalmology Physician1447423793
  3. Paul Froula, MDOphthalmology Physician1487623310
  4. Herbert Glatt, M.D.Ophthalmology Physician1467421933
  5. David Harris, M.D.Ophthalmology Physician1356346910
  6. Lauren Harris, M.D.Ophthalmology Physician1295056943

Verify James Matthew Rouse in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license 046957
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

4.6 times the Medicare Part D claims of the average ophthalmology physician in 2024

6,962 Medicare Part D claims for 1,167 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.

  1. James Rouse6,962
  2. Specialty average1,518

Most prescribed

  1. Latanoprost1,585 claims
  2. Dorzolamide-Timolol916 claims
  3. Brimonidine Tartrate656 claims
  4. Timolol Maleate583 claims
  5. Lumigan372 claims
  6. Dorzolamide Hcl350 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 48 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score90.9
  2. Costout of 100 · 30%19.0
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $315.51

20 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Rouse$315.51
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. University Eye Specialists, P.C.Knoxville, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Matthew Rouse among 366 ophthalmology physician records in Tennessee

James Matthew Rouse, M.D. is one of 366 ophthalmology physician records with a practice address in Tennessee. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 69% of them.

  • NPI issued2008 · 69% of these records are older, 28% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2006 · median 2002 among the 247 with a school on file
  • Record last updated2019 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Tennessee

There are 366 ophthalmology physician records in Tennessee.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Charles Ange, M.D.Knoxville, TN 379201952370843
  2. Adam Carrera, M.D.Knoxville, TN 379201477916682
  3. Loren Cook, M.D.Knoxville, TN 379201093738726
  4. James Doss, M.D.Knoxville, TN 379201447423793
  5. Paul Froula, MDKnoxville, TN 379201487623310
  6. Herbert Glatt, M.D.Knoxville, TN 379201467421933
  7. David Harris, M.D.Knoxville, TN 379201356346910
  8. Lauren Harris, M.D.Knoxville, TN 379201295056943

Common questions

What is James Matthew Rouse, M.D.'s NPI number?

James Matthew Rouse, M.D.'s National Provider Identifier (NPI) is 1083877369, issued on Jul 7, 2008. An NPI identifies a provider in billing; it is not a license.

Where is James Matthew Rouse, M.D. located?

The NPPES record lists a practice address at 1932 Alcoa Hwy Ste 255, Knoxville, TN, 37920. Phone: (865) 244-2030. Providers update this record themselves, so call before visiting.

How can I verify James Matthew Rouse, M.D.'s license?

NPPES lists Tennessee license number 046957, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Matthew Rouse, M.D. prescribe under Medicare Part D?

In 2024, James Matthew Rouse, M.D. had 6,962 Medicare Part D claims for 1,167 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is James Matthew Rouse, M.D.'s MIPS final score?

The 2023 MIPS final score is 48 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.