MR. MARTIN J WEISS M.D.
NPI 1770596314
Internal Medicine in Memphis, TN
NPI Status: Active since August 14, 2006
Contact Information
6401 POPLAR AVE
STE 270
MEMPHIS, TN
ZIP 38119
Phone: (901) 763-1695
Fax: (901) 682-3150
- NPI Profile Information
- Primary Taxonomy
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Quality Reporting
- Hospital Affiliations - Privileges
- CLIA Information
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 28
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
- CLIA Number: 44D2082761
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-20-2026
About MARTIN WEISS
This page provides the complete NPI Profile along with additional information for Martin Weiss, an internist established in Memphis, Tennessee with a medical specialization in Internal Medicine and more than 28 years of experience. He graduated from East Tennessee State University Quillen College Of Medicine in 1998. The healthcare provider is registered in the NPI registry with number 1770596314 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD0000031995 (TN). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1770596314
- Provider Name
- MR. MARTIN J WEISS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6401 POPLAR AVE STE 270 MEMPHIS, TN 38119
- Location Phone
- (901) 763-1695
- Location Fax
- (901) 682-3150
- Mailing Address
- PO BOX 771350 MEMPHIS, TN 38177
- Mailing Phone
- (901) 684-5356
- Mailing Fax
- (901) 682-3150
- Medical School Name
- EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-14-2006
- Last Update Date
- 04-07-2016
- Code Navigator
An internist like Martin Weiss is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD0000031995
- License State
- TN
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value (No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - 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 |
|---|---|---|---|
| H76693 | MEDICARE UPIN (02) | TN | |
| 3879214 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | MEDICARE PROVIDER NUMBER |
Medicare Participation & PECOS Enrollment Status
Martin Weiss 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.
Martin Weiss 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: 3274538244
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: I20060926000064
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-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
5 DME suppliers used 17 Medicare Claims 35 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Injection of drug or substance under skin or into muscle
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Insertion of needle into vein for collection of blood sample
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 18 times for 18 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 129 times for 129 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 18 times for 17 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 166 times for 104 patientsThe quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
This service was performed 18 times for 18 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 25 times for 22 patientsThis is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
This service was performed 18 times for 14 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 284 times for 134 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.45 for a new patient copayment and $23.4 for an established patient copayment.
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 38119 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 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.
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 |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Colorectal Cancer Screening | 68% | 165 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 14% | 22 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 27% | 322 |
| 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 | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Martin Weiss is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE ROAD MEMPHIS, TN 38120 | (901) 226-5000 | Acute Care Hospitals | |
| METHODIST HOSPITALS OF MEMPHIS | 1265 UNION AVE SUITE 700 MEMPHIS, TN 38104 | (901) 516-8274 | Acute Care Hospitals |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2082761
- Facility Type
- Physician Office
- Certificate Effective Date
- August 21, 2024
- Certificate Expiration Date
- August 20, 2026
- Laboratory Director
- WILLIAM WEISS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Martin Weiss to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 7 | 0 | 5 | 9 | 6 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 10 | 9 | 12 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 0 + 9 + 1 + 2 + 3 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1770596314 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1952306425 | DR. KENAN DAVID CLINTON D.D.S. Individual | Dentist (Endodontics) | 6401 POPLAR AVE SUITE 260 MEMPHIS, TN 38119 (901) 682-8847 |
| 1952363632 | PENNMARC INTERNAL MEDICINE PC Organization | Internal Medicine | 6401 POPLAR AVE SUITE 400 MEMPHIS, TN 38119 (901) 525-3086 |
| 1699725812 | DIAGNOSTIC IMAGING PC Organization | Radiology (Diagnostic Radiology) | 6401 POPLAR AVE SUITE 100 MEMPHIS, TN 38119 (901) 387-2340 |
| 1942250915 | DR. JANET LYON KNIGHT M.D. Individual | Dermatology (Dermatopathology) | 6401 POPLAR AVE SUITE 405 MEMPHIS, TN 38119 (901) 761-2597 |
| 1710921812 | PETER A. ALDEA M.D. Individual | Plastic Surgery | 6401 POPLAR AVE SUITE 360 MEMPHIS, TN 38119 (901) 752-1412 |
| 1063456176 | PATRICIA L. EBY M.D. Individual | Plastic Surgery | 6401 POPLAR AVE SUITE 360 MEMPHIS, TN 38119 (901) 752-1412 |
| 1134139199 | DR. ROBIN MALCOLM STEVENSON M.D. Individual | Specialist | 6401 POPLAR AVE SUITE 505 MEMPHIS, TN 38119 (901) 682-0423 |
| 1083719785 | MICHELE A BATTLES MD Individual | Ophthalmology | 6401 POPLAR AVE SUITE 340 MEMPHIS, TN 38119 (901) 683-5500 |
| 1841367364 | RIVER CITY PEDIATRICS, P.C. Organization | Pediatrics | 6401 POPLAR AVE SUITE 610 MEMPHIS, TN 38119 (901) 761-1280 |
| 1013084953 | KATHRYN W BYRD MD Individual | Ophthalmology | 6401 POPLAR AVE SUITE 324 MEMPHIS, TN 38119 (901) 681-9600 |
| 1538362751 | SIDNEY H KRIGER MD PC Organization | Ophthalmology | 6401 POPLAR AVE SUITE 340 MEMPHIS, TN 38119 (901) 683-5500 |
| 1891995213 | DR. LORA JANNETTE MCGILL M.D. Individual | Psychiatry & Neurology (Neurology) | 6401 POPLAR AVE SUITE 420 MEMPHIS, TN 38119 (901) 843-1045 |
| 1467640045 | KATHRYN BYRD,MD,PC. Organization | Clinic/Center (Medical Specialty) | 6401 POPLAR AVE SUITE 324 MEMPHIS, TN 38119 (901) 681-9600 |
| 1407030851 | PEDIATRIC CARDIOLOGY CONSULTANTS, P.C. Organization | Specialist | 6401 POPLAR AVE STE 402 MEMPHIS, TN 38119 (901) 682-7774 |
| 1881017481 | CAROLYN SCATAMACCHIA FNP Individual | Nurse Practitioner (Family) | 6401 POPLAR AVE SUITE 420 MEMPHIS, TN 38119 (901) 843-1045 |
| 1750359543 | ROBERT J KAPLAN MD Individual | Dermatology | 6401 POPLAR AVE SUITE 330 MEMPHIS, TN 38119 (901) 682-3273 |
| 1497753131 | PAUL JAY KATZ MD Individual | Internal Medicine | 6401 POPLAR AVE SUITE 400 MEMPHIS, TN 38119 (901) 525-3086 |
| 1831415058 | YUNNA JIANG M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 6401 POPLAR AVE SUITE 400 MEMPHIS, TN 38119 (901) 753-3322 |
| 1386713808 | DR. WILLIAM TODD WEISS M.D. Individual | Internal Medicine | 6401 POPLAR AVE SUITE 270 MEMPHIS, TN 38119 (901) 766-1967 |
| 1720235021 | WILLIAM TODD WEISS M D Organization | Internal Medicine | 6401 POPLAR AVE SUITE 270 MEMPHIS, TN 38119 (901) 766-1967 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770596314, enumerated in the NPI registry as an "individual" on August 14, 2006
The provider is located at 6401 Poplar Ave Ste 270 Memphis, Tn 38119 and the phone number is (901) 763-1695
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 28 years of experience. He graduated from East Tennessee State University Quillen College Of Medicine in 1998.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee,. 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 $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage, Injection of drug or substance under skin or into muscle, Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg, Insertion of needle into vein for collection of blood sample and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.
The provider's CLIA number is 44D2082761 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
The practitioner is affiliated to the following hospital(s): BAPTIST MEMORIAL HOSPITAL and METHODIST HOSPITALS OF MEMPHIS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 14, 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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