PAUL PYLES, MD
Psychiatry Physician · KNOXVILLE, TN
Individual Active NPI 1568496560
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 38 | 522 | $231,198 | $83,075 | $63,345 |
| 2023 | 56 | 451 | $149,219 | $46,159 | $35,122 |
| 2022 | 58 | 218 | $63,676 | $23,477 | $18,619 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 144 | $398 | $312 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 | $117 | $90 |
| 80305 | Testing for presence of drug, read by direct observation | 97 | $12 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 93 | $83 | $49 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 47 | $51 | $33 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 17 | $15 | $12 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ✓ | 45914 | TN |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 45914 | TN | |
| Psychiatry Physician | 2084P0800X | 14478 | MS | |
| Psychiatry Physician | 2084P0800X | C0013 | KY |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.