DR. JOSEPH CHARLES OPIE M.D.
NPI 1497704993
Obstetrics & Gynecology in Mc Kenzie, TN
NPI Status: Active since May 10, 2006
Contact Information
205 HOSPITAL DR
SUITE A
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-7907
Fax: (731) 352-4459
- Individual
- Male
- Obstetrics & Gynecology
- Accepts Insurance
- PECOS Enrolled
About JOSEPH OPIE
This page provides the complete NPI Profile along with additional information for Joseph Opie, a women's health care provider established in Mc Kenzie, Tennessee with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1497704993 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X with license number MD23935 (TN). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1497704993
- Provider Name
- DR. JOSEPH CHARLES OPIE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201
- Location Phone
- (731) 352-7907
- Location Fax
- (731) 352-4459
- Mailing Address
- 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201
- Mailing Phone
- (731) 352-7907
- Mailing Fax
- (731) 352-4459
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-10-2006
- Last Update Date
- 11-30-2010
- Code Navigator
Women's health care providers like Joseph Opie treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD23935
- License State
- TN
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | MD23935 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- EssentialSmile Tennessee - Total Care - EPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
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 |
|---|---|---|---|
| 3380640 | OTHER (01) | TN | MEDICARE GROUP |
| 1513385 | MEDICAID (05) | TN | |
| 23935 | OTHER (01) | TN | MD LICENSE |
| 3380640 | OTHER (01) | TN | MEDICAID GROUP |
| 30719181 | MEDICARE PIN (08) | TN |
Medicare Participation & PECOS Enrollment Status
Joseph Opie 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 38201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- 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.
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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 | 4 | 9 | 7 | 7 | 0 | 4 | 9 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 0 | 8 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 0 + 8 + 9 + 1 + 8 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1497704993 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033147145 | JAMES O MORGAN M.D. Individual | Urology | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1699705665 | ALICE CHAPMAN R.D. L.D.N. Individual | Dietitian, Registered | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (173) 135-2790 |
| 1194733089 | MR. DAVID ANDREW JOHNSON MSW, LMFT Individual | Marriage & Family Therapist | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1740331651 | MEREDITH ANN BROWN NP-C, CHPN, MSN Individual | Nurse Practitioner (Adult Health) | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1013110378 | JOYCE R HAYES DPH Individual | Pharmacist | 205 HOSPITAL DR MC KENZIE, TN 38201 (731) 352-0820 |
| 1568623957 | APRIL MARIE STODDARD P.A.C. Individual | Physician Assistant | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1669629531 | DR. TAVARES KINTE WILLIAMS M.D. Individual | Pediatrics | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1225267479 | MCKENZIE MEDICAL CENTER Organization | Clinic/Center (Sleep Disorder Diagnostic) | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1033418447 | ADVANCED DIAGNOSTIC CENTER LLC Organization | Clinic/Center (Radiology) | 205 HOSPITAL DR SUITE C MC KENZIE, TN 38201 (731) 352-7907 |
| 1154324945 | STANLEY THOMAS KING PA Individual | Physician Assistant | 205 HOSPITAL DR STE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1801881131 | KIRSTEN INGEBORG SASS PA Individual | Physician Assistant | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1962405373 | MEIKE ALEXANDRA BRIDGEMAN NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 205 HOSPITAL DR STE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1659374296 | DR. TERRY ANDREW COLOTTA MD Individual | Family Medicine | 205 HOSPITAL DR STE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1750710331 | CCC MEDICAL EQUIPMENT, INC. Organization | Durable Medical Equipment & Medical Supplies | 205 HOSPITAL DR MC KENZIE, TN 38201 (731) 352-6005 |
| 1225400484 | BETH MITCHELL GRAVES NP-C Individual | Nurse Practitioner (Family) | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1013359538 | KELLY E RAWLS PHYSICIAN ASSISTANT Individual | Physician Assistant | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1871582007 | DR. ALLAN J MOEDE M.D. Individual | Orthopaedic Surgery | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1609253509 | HOME MEDICAL PRODUCTS, INC Organization | Durable Medical Equipment & Medical Supplies | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-6005 |
| 1841696192 | MCKENZIE MEDICAL CENTER Organization | Clinic/Center (Urgent Care) | 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 (731) 352-7907 |
| 1467455287 | DR. BRYAN HALE MERRICK MD Individual | Internal Medicine | 205 HOSPITAL DR STE A MC KENZIE, TN 38201 (731) 352-7907 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497704993, enumerated in the NPI registry as an "individual" on May 10, 2006
The provider is located at 205 Hospital Dr Suite A Mc Kenzie, Tn 38201 and the phone number is (731) 352-7907
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: UnitedHealthcare, 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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.8 with an average copayment of $30.45 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 May 10, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.