PHILLIP NICHOLS, MD
Pulmonary Disease Physician · KNOXVILLE, TN
Individual Active NPI 1639115496
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 180 | 4,901 | $344,251 | $135,866 | $106,226 |
| 2023 | 301 | 4,011 | $308,470 | $122,567 | $94,734 |
| 2022 | 387 | 1,180 | $350,454 | $131,047 | $101,771 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 67 | $113 | $83 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | $80 | $50 |
| 71046 | X-ray of chest, 2 views | 26 | $29 | $20 |
| 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 | 23 | $15 | $11 |
| 94010 | Test to measure expiratory airflow and volume | 22 | $24 | $17 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 21 | $98 | $75 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | $86 | $68 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 17 | $110 | $71 |
| 95810 | Sleep study in sleep lab (6 years or older) | 12 | $105 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 37082 | TN |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 37082 | TN |
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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See all Pulmonary Disease Physician providers in Tennessee →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.