NICHOLAS THORNTON, MD
Family Medicine Physician · POWELL, TN
Individual Active NPI 1831130731
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 169 | 6,204 | $205,660 | $93,969 | $74,836 |
| 2023 | 172 | 4,351 | $188,248 | $86,104 | $70,216 |
| 2022 | 187 | 6,887 | $180,669 | $84,615 | $68,222 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 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 | 257 | $15 | $10 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 246 | $116 | $69 |
| 36415 | Insertion of needle into vein for collection of blood sample | 241 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 192 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 159 | $13 | $13 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 121 | $119 | $119 |
| 83036 | Hemoglobin a1c level | 121 | $9 | $9 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 106 | $1 | $1 |
| G0444 | Annual depression screening, 5 to 15 minutes | 103 | $17 | $17 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 | $81 | $49 |
| G0008 | Administration of influenza virus vaccine | 89 | $30 | $30 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 73 | $16 | $16 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 37029 | 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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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.