DR. ARNOLD O HOPLAND M.D.
NPI 1689674681
General Practice in Elizabethton, TN
NPI Status: Active since August 01, 2005
Contact Information
1500 W ELK AVE
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 543-2584
Fax: (423) 722-2060
- Individual
- Male
- Years of Experience 47
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ARNOLD HOPLAND
This page provides the complete NPI Profile along with additional information for Arnold Hopland, a primary care provider established in Elizabethton, Tennessee with a medical specialization in General Practice and more than 47 years of experience. He graduated from University Of Wisconsin School Of Medicine in 1979. The healthcare provider is registered in the NPI registry with number 1689674681 assigned on August 2005. The practitioner's primary taxonomy code is 208D00000X with license number 12764 (TN). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1689674681
- Provider Name
- DR. ARNOLD O HOPLAND M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 W ELK AVE ELIZABETHTON, TN 37643
- Location Phone
- (423) 543-2584
- Location Fax
- (423) 722-2060
- Mailing Address
- 401 E MAIN ST JOHNSON CITY, TN 37601
- Mailing Phone
- (423) 722-2057
- Mailing Fax
- (423) 722-2060
- Medical School Name
- UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
- Graduation Year
- 1979
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2005
- Last Update Date
- 04-10-2019
- Code Navigator
A primary care provider (PCP) like Arnold Hopland sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 401 E Main St
Johnson City, TN 37601
(423) 929-2584
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 12764
- License State
- TN
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - 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 |
---|---|---|---|
Q026446 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Arnold Hopland is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Arnold Hopland 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
PECOS PAC ID: 446238612
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040914000596
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 15 Medicare Claims 15 Services Paid
Reviews for DR. ARNOLD O HOPLAND M.D.
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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 | 6 | 8 | 9 | 6 | 7 | 4 | 6 | 8 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 16 | 9 | 12 | 7 | 8 | 6 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 8 + 6 + 1 + 6 + 24 = 79 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 79 = 1 | 1 |
The NPI number 1689674681 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 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1205271343 | AUDREY LANEY APN Individual | Nurse Practitioner | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 929-2584 |
1346419272 | MEDICAL CARE LLC Organization | Family Medicine | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 431-0512 |
1487602488 | HHC, LLC Organization | Home Health | 1500 W ELK AVE SUITE 201 ELIZABETHTON, TN 37643 (423) 547-2310 |
1780613174 | DR. JOHN R TESTERMAN M.D. Individual | Orthopaedic Surgery | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 929-2584 |
1518925783 | ADVENTA HOSPICE, LLC Organization | Hospice Care, Community Based | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 547-0852 |
1649376765 | WILLIAM ALLAN GARRETT JR. MD Individual | Family Medicine | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1952840647 | MS. DIANE LYNN ROCHE PA Individual | Physician Assistant | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1801373964 | MRS. JESSICA D LANE APN Individual | Nurse Practitioner (Pediatrics) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1992763981 | DR. SUSAN LYASKO KLUGEWICZ M.D. Individual | Pediatrics | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1386119733 | MRS. REBECCA MORRIS APN Individual | Nurse Practitioner (Family) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1225365406 | THOMAS ISAAC YOUNG FNP-BC, APRN Individual | Nurse Practitioner (Family) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1255331740 | DR. KENNETH M HOPLAND M.D. Individual | Family Medicine | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1467903674 | MR. TREVER WEAVER Individual | Nurse Practitioner (Family) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1134653231 | JULIEANNE DAVIS Individual | Family Medicine | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 929-2584 |
1982210928 | BRIDGET MASHBURN APN Individual | Nurse Practitioner (Family) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1801865324 | BRENDA JANE CROWDER M.D. Individual | Obstetrics & Gynecology (Gynecology) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1659042000 | TARA DRINNON APN Individual | Nurse Practitioner (Family) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1578109286 | KRISTIE GAIL SMITH Individual | Nurse Practitioner | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
1033863725 | SIERRA FAITH OWENS DPT Individual | Physical Therapist | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2215 |
1275169187 | SUDHA RAJ KUMAR NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 1500 W ELK AVE ELIZABETHTON, TN 37643 (423) 543-2584 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689674681, enumerated in the NPI registry as an "individual" on August 01, 2005
The provider is located at 1500 W Elk Ave Elizabethton, Tn 37643 and the phone number is (423) 543-2584
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider has more than 47 years of experience. He graduated from University Of Wisconsin School Of Medicine in 1979.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. 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.
This NPI record was last updated on August 01, 2005. 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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