Quick answers
- Does James Lett Jr. accept Medicare assignment?
- Yes. Medicare's clinician data says James Lett Jr. accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does James Lett Jr. see?
- In 2024, CMS data shows 138 Original Medicare patients and 152 services for James Lett Jr.. This counts Original Medicare only and measures volume, not quality.
- What is James Lett Jr.'s NPI number?
- 1427068881. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for James Lett Jr., data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 138 |
|---|---|
| Services billed to Medicare | 152 |
| Different services or procedures | 9 |
| Participating Medicare provider | Yes |
| Average age of these patients | 75 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)108 services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)13 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)13 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis49%
- Ischemic heart disease23%
- Diabetes22%
- Depression19%
Practice locations
Addresses where James Lett Jr. is enrolled with Medicare (CMS data updated October 2, 2026).
- 7161 Lee HwyChattanooga, TN 37421 (423) 305‑7272
Group practices
Medicare enrollment lists James Lett Jr. as a member of this group (CMS data updated October 2, 2026).
- Thompson and Lett Eye Care, PLLC3 clinicians in the group
Specialties
- Optometryprimary
Other optometrists in Chattanooga
Clinicians with the same Medicare primary specialty in Chattanooga, TN — not a recommendation.
Other clinicians in Thompson and Lett Eye Care, PLLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| School | Southern College Of Optometry |
|---|---|
| Graduation year | 1983 |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1427068881 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians