THOMAS A. HUNTER M.D.
NPI 1285797811
Radiology - Radiation Oncology in Nashville, TN
NPI Status: Active since December 18, 2006
Contact Information
4220 HARDING PIKE
NASHVILLE, TN
ZIP 37205
Phone: (615) 222-6755
Fax: (615) 222-3567
- Individual
- Male
- Radiology
- Radiation Oncology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About THOMAS HUNTER
This page provides the complete NPI Profile along with additional information for Thomas Hunter, a provider established in Nashville, Tennessee with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1285797811 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0001X with license number MD14913 (TN). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1285797811
- Provider Name
- THOMAS A. HUNTER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4220 HARDING PIKE NASHVILLE, TN 37205
- Location Phone
- (615) 222-6755
- Location Fax
- (615) 222-3567
- Mailing Address
- PO BOX 440261 NASHVILLE, TN 37244
- Mailing Phone
- (615) 329-0570
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-18-2006
- Last Update Date
- 06-07-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD14913
- License State
- TN
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A96645 | MEDICARE UPIN (02) | TN | |
| 3000792 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | INDIVIDUAL |
| 3701445 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | GROUP |
Medicare Participation & PECOS Enrollment Status
Thomas Hunter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $160.89
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $40.22
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.01
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $16.5
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 56% | 93 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Documentation of Current Medications in the Medical Record | 7% | 626 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Falls: Screening for Future Fall Risk | 97% | 173 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Oncology: Medical and Radiation - Pain Intensity Quantified | 87% | 712 |
| Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 78% | 323 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 55% | 317 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 23% | 26 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 7 | 9 | 7 | 8 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 14 | 9 | 14 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 4 + 9 + 1 + 4 + 8 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1285797811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952330672 | DR. MARION GILBERT BOLIN M.D. Individual | Radiology (Radiation Oncology) | 4220 HARDING PIKE DAN RUDY CANCER CENTER NASHVILLE, TN 37205 (615) 222-6755 |
| 1184748279 | DR. EDWIN DALE BATCHELOR M.D. Individual | Ophthalmology | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-6225 |
| 1922126820 | ELIZABETH GARLAND CRON CRNFA Individual | Registered Nurse (Registered Nurse First Assistant) | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-2126 |
| 1255450466 | DR. CLARENCE S. THOMAS JR. M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-6343 |
| 1629246111 | KARI ELLEN HMELO RN, ACNP,APRN,BC Individual | Nurse Practitioner | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-6977 |
| 1669643987 | ST THOMAS NP LLC Organization | Nurse Practitioner (Adult Health) | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-4097 |
| 1043481369 | MS. MARY ELIZABETH BACIGALUPO RN, CCRN, ACNP, APRN Individual | Nurse Practitioner (Adult Health) | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-4097 |
| 1396983680 | ST. THOMAS NP, LLC Organization | General Acute Care Hospital | 4220 HARDING PIKE NASHVILLE, TN 37205 (713) 344-2401 |
| 1871859348 | SAINT THOMAS HEART Organization | General Acute Care Hospital | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 630-4366 |
| 1750684353 | MRS. KELLY LYNN WEATHERFORD RN, MSN, ANP-BC Individual | Nurse Practitioner (Adult Health) | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-4923 |
| 1992860910 | SAINT THOMAS WEST HOSPITAL Organization | Psychiatric Hospital | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-2189 |
| 1104083757 | DR. PAUL HAYDEN CAUDILL Individual | Emergency Medicine | 4220 HARDING PIKE EMERGENCY MEDICAL CONSULTANTS OF NASHVILLE NASHVILLE, TN 37205 (615) 222-6733 |
| 1215354980 | PATIENT CENTERED DIAGNOSTICS PLC Organization | Dermatology (Dermatopathology) | 4220 HARDING PIKE SUITE 504 NASHVILLE, TN 37205 (615) 298-4100 |
| 1710388640 | BAPTIST HEALTHCARE GRP Organization | Specialist | 4220 HARDING PIKE NASHVILLE, TN 37205 (317) 583-3036 |
| 1104863554 | KYRIAKOS E KYRIAKIDIS MD Individual | Internal Medicine | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-6977 |
| 1275680134 | DAMON M ABARAY MD Individual | Internal Medicine | 4220 HARDING PIKE SUITE 500 NASHVILLE, TN 37205 (615) 222-6977 |
| 1639201130 | BRITT R MAXWELL MD Individual | Internal Medicine | 4220 HARDING PIKE SUITE 500 NASHVILLE, TN 37205 (615) 222-6977 |
| 1538363023 | WILLIAM TAYLOR BROWNLEE MD Individual | Internal Medicine | 4220 HARDING PIKE NASHVILLE, TN 37205 (615) 222-6977 |
| 1033367586 | LORI RUSHING APN Individual | Clinical Nurse Specialist (Adult Health) | 4220 HARDING PIKE SUITE 500 NASHVILLE, TN 37205 (615) 222-3445 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285797811, enumerated in the NPI registry as an "individual" on December 18, 2006
The provider is located at 4220 Harding Pike Nashville, Tn 37205 and the phone number is (615) 222-6755
The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology
The provider might be accepting Accepts: Oscar Insurance Company, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $160.89 with an average copayment of $40.22 for new patient appointments. Established patients should expect a typical charge of $66.01 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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