James Matthew Rouse, M.D.
NPI 1083877369ActiveIndividual· Ophthalmology· Knoxville, TN
Ophthalmology (M.D.) in Knoxville, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 2006). Their prescriptions cost Medicare Part D more than their services did: $830,278 for 6,962 claims, against $338,615 paid for services in 2024. Abbvie Inc. was the largest of 9 companies reporting payments in 2025, $840.97 in all, mostly food and beverage.
Overview
| NPI | 1083877369 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 7, 2008 |
| Last updated in NPPES | Jan 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 046957 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,063 |
|---|---|
| Services billed | 4,390 across 41 procedure codes |
| Paid by Medicare | $338,615 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,962 · 14,527 30-day fills |
|---|---|
| Patients | 1,167 |
| Total drug cost | $830,278 |
| Generic share | 68% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Ophthalmology |
Medical group
- University Eye Specialists, P.C.Knoxville, TN · 15 clinicians
Hospital affiliation
- University Health System, IncKnoxville, TN
Industry payments (Open Payments)
- 2025$840.97 · 39 payments from 9 companies
- 2024$315.51 · 20 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $401.16 | 23 |
| Johnson & Johnson Surgical Vision, Inc. | $124.98 | 1 |
| Alcon Vision LLC | $108.28 | 5 |
| Tarsus Pharmaceuticals, Inc. | $61.53 | 3 |
| Mallinckrodt Hospital Products Inc. | $47.44 | 2 |
What the 2025 payments were for
- Food and Beverage$840.97 · 39 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other ophthalmologists in Knoxville
- 1013911791
- 1205254190
- 1205285632
- 1285889311
- 1295056943
- 1336188648
- 1356346910
- 1396373536
- 1447423793
- 1457402216
- 1467421933
- 1477916682
All 45 ophthalmologists in Knoxville · All ophthalmologists in Tennessee