PATCHOUCO THEODORE MD
NPI 1528628963
Emergency Medicine in Knoxville, TN
NPI Status: Active since June 18, 2019
Contact Information
1924 ALCOA HWY # U-67
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-9350
Fax: (865) 305-8942
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About PATCHOUCO THEODORE
This page provides the complete NPI Profile along with additional information for Patchouco Theodore, a provider established in Knoxville, Tennessee with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528628963 assigned on June 2019. The practitioner's primary taxonomy code is 207P00000X with license number 66626 (TN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1528628963
- Provider Name
- PATCHOUCO THEODORE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920
- Location Phone
- (865) 305-9350
- Location Fax
- (865) 305-8942
- Mailing Address
- 10300 SW 216TH ST CUTLER BAY, FL 33190
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2019
- Last Update Date
- 02-22-2023
- 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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 66626
- License State
- TN
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Patchouco Theodore 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 37920 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- 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 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- 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 | 6 | 2 | 8 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 12 | 2 | 16 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 2 + 2 + 1 + 6 + 9 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1528628963 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 |
|---|---|---|---|
| 1245646850 | DIANE MARISSA BRASUELL DO Individual | Emergency Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1821404435 | ROY FERRAIUOLO MD Individual | Emergency Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1336679174 | MEGAN BRADLEY MD Individual | Family Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9352 |
| 1912436197 | STEPHEN DANIEL BURD MD Individual | Emergency Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9352 |
| 1033869839 | MEGAN KATHLEEN HOOD MD Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1083110449 | JAMES DEAN WEBB MD Individual | Family Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1003501677 | ZAID AHMAD MD Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9340 |
| 1013602002 | JACOB WILLIAMS Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1104511914 | MEGAN LEIGH PANNELL DO Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1316632987 | JARED THANE LAYMON MD Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1427743541 | BRANDON BALDERSTON Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1477248268 | RICKY CURRY Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1508561739 | THOMAS PATRICK BELL Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1902591555 | LAUREN ELIZABETH WADE Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1114554441 | DR. ANDREW PATRICK NOLIN DO Individual | Internal Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9340 |
| 1780144618 | STEPHANIE MITCHELL HARTMANN DO Individual | Family Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1659900918 | CALLA WALTERS MD Individual | Family Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1891323705 | MADISON COMPTON DO Individual | Family Medicine | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1013767532 | DELANEE CHAJA Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
| 1215679360 | GLENNA MACGILL GAINES Individual | Student in an Organized Health Care Education/Training Program | 1924 ALCOA HWY # U-67 KNOXVILLE, TN 37920 (865) 305-9350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528628963, enumerated in the NPI registry as an "individual" on June 18, 2019
The provider is located at 1924 Alcoa Hwy # U-67 Knoxville, Tn 37920 and the phone number is (865) 305-9350
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. 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 $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 18, 2019. 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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