DR. RICHARD W QUISLING M.D.
NPI 1528006707
Otolaryngology in Hermitage, TN
NPI Status: Active since June 02, 2006
Contact Information
5651 FRIST BLVD
SUITE 210
HERMITAGE, TN
ZIP 37076
Phone: (615) 885-4900
Fax: (615) 885-4719
- Individual
- Male
- Otolaryngology
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About RICHARD QUISLING
This page provides the complete NPI Profile along with additional information for Richard Quisling, a provider established in Hermitage, Tennessee with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1528006707 assigned on June 2006. The practitioner's primary taxonomy code is 207Y00000X with license number MD0000010621 (TN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1528006707
- Provider Name
- DR. RICHARD W QUISLING M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5651 FRIST BLVD SUITE 210 HERMITAGE, TN 37076
- Location Phone
- (615) 885-4900
- Location Fax
- (615) 885-4719
- Mailing Address
- 5651 FRIST BLVD SUITE 210 HERMITAGE, TN 37076
- Mailing Phone
- (615) 885-4900
- Mailing Fax
- (615) 885-4719
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-02-2006
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Richard Quisling opted out of Medicare effective on 07-01-2012 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD0000010621
- License State
- TN
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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) |
|---|
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 |
|---|---|---|---|
| 3383480 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | NON PARTICIPATING |
Medicare Participation & PECOS Enrollment Status
Richard Quisling 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2012
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? 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 37076 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 | 5 | 2 | 8 | 0 | 0 | 6 | 7 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 0 | 12 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 0 + 1 + 2 + 7 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1528006707 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1972506061 | KEVIN M HAMILTON M.D. Individual | Obstetrics & Gynecology | 5651 FRIST BLVD STE 213 HERMITAGE, TN 37076 (615) 883-9988 |
| 1770584971 | JEFFREY J MILLER PA-C Individual | Physician Assistant | 5651 FRIST BLVD SUITE 400 HERMITAGE, TN 37076 (615) 391-4545 |
| 1841283926 | DR. DONALD E. COX DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 5651 FRIST BLVD SUITE 300 HERMITAGE, TN 37076 (615) 889-7835 |
| 1215923875 | BRUCE RANDOLPH GOODMAN MD Individual | Obstetrics & Gynecology | 5651 FRIST BLVD STE. 201 HERMITAGE, TN 37076 (615) 391-0800 |
| 1215918321 | DR. ALVIN H. MEYER JR. M.D. Individual | Dermatology | 5651 FRIST BLVD STE 509 HERMITAGE, TN 37076 (615) 889-5172 |
| 1912970021 | DR. DONALD S CRUMBO M.D Individual | Internal Medicine (Interventional Cardiology) | 5651 FRIST BLVD SUITE 603 HERMITAGE, TN 37076 (615) 889-1968 |
| 1619936242 | KIMBERLY COLLETTE YOUNG RNC MSN Individual | Nurse Practitioner (Obstetrics & Gynecology) | 5651 FRIST BLVD STE 201 HERMITAGE, TN 37076 (615) 391-0800 |
| 1154372076 | MRS. ANGELA LYN COLLINS PA-C Individual | Physician Assistant (Surgical) | 5651 FRIST BLVD SUITE 712 HERMITAGE, TN 37076 (615) 872-9966 |
| 1770520355 | ORVILLE CLIFTON CAMPBELL M.D Individual | Specialist | 5651 FRIST BLVD STE 701 HERMITAGE, TN 37076 (615) 885-0277 |
| 1134160955 | TIMOTHY D LYNCH PHD Individual | Psychologist (Counseling) | 5651 FRIST BLVD SUITE 413 HERMITAGE, TN 37076 (615) 504-4357 |
| 1225060791 | SHAN-REN ZHOU MD Individual | Specialist | 5651 FRIST BLVD SUITE 308 HERMITAGE, TN 37076 (615) 391-8160 |
| 1285655480 | DR. STEPHEN K. FELTS M.D. Individual | Specialist | 5651 FRIST BLVD STE. 709 HERMITAGE, TN 37076 (615) 846-4500 |
| 1538172077 | DR. MARTIN HENRY WAGNER M.D. Individual | Psychiatry & Neurology (Neurology) | 5651 FRIST BLVD SUITE 413 HERMITAGE, TN 37076 (615) 885-0110 |
| 1306910096 | TERRY DUNCAN SAWYER DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 5651 FRIST BLVD SUITE 301 HERMITAGE, TN 37076 (615) 883-0067 |
| 1821148909 | RASHUNDRA N OGGS NURSE PRACTITIONER Individual | Nurse Practitioner (Adult Health) | 5651 FRIST BLVD SUITE 701 HERMITAGE, TN 37076 (615) 885-0277 |
| 1982745014 | SOUTHERN SPINE CENTER PLC Organization | Specialist | 5651 FRIST BLVD SUITE 409 HERMITAGE, TN 37076 (615) 885-0200 |
| 1730387929 | GASTROENTEROLOGY ASSOCIATES AT THE SUMMIT, P.C. Organization | Specialist | 5651 FRIST BLVD SUITE 610 HERMITAGE, TN 37076 (615) 885-7788 |
| 1558560383 | ALVIN H. MEYER, JR., M.D., P.C. Organization | Dermatology | 5651 FRIST BLVD STE 509 HERMITAGE, TN 37076 (615) 889-5171 |
| 1942400338 | CUMBERLAND PLASTIC SURGERY P.C. Organization | Plastic Surgery | 5651 FRIST BLVD STE 708 HERMITAGE, TN 37076 (615) 467-3977 |
| 1568652030 | NEW HORIZON FAMILY PRACTICE Organization | Family Medicine | 5651 FRIST BLVD STE 415 HERMITAGE, TN 37076 (615) 232-9232 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528006707, enumerated in the NPI registry as an "individual" on June 02, 2006
The provider is located at 5651 Frist Blvd Suite 210 Hermitage, Tn 37076 and the phone number is (615) 885-4900
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
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: 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 $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.
No, the provider signed an affidavit on July 01, 2012 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.
This NPI record was last updated on June 02, 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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