COREY CUDZILO M.D.
NPI 1003012022
Internal Medicine - Pulmonary Disease in Knoxville, TN

NPI Status: Active since June 26, 2007

Contact Information

6473 KINGSTON PIKE
KNOXVILLE, TN
ZIP 37919
Phone: (865) 588-8831
Fax: (865) 588-8841

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  • Individual
  • Male
  • Years of Experience 17
  • Internal Medicine
  • Pulmonary Disease
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About COREY CUDZILO

Corey Cudzilo is an internist established in Knoxville, Tennessee and his medical specialization is Internal Medicine with a focus in pulmonary disease with more than 17 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1003012022 assigned on June 2007. The practitioner's primary taxonomy code is 207RP1001X with license number 50968 (TN). The provider is registered as an individual and his NPI record was last updated May 2024.

NPI
1003012022
Provider Name
COREY CUDZILO M.D.
Gender
Male
Entity Type
Individual
Location Address
6473 KINGSTON PIKE KNOXVILLE, TN 37919
Location Phone
(865) 588-8831
Location Fax
(865) 588-8841
Mailing Address
PO BOX 207830 DALLAS, TX 75320
Mailing Phone
(865) 909-0090
Mailing Fax
(865) 588-8841
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-26-2007
Last Update Date
05-31-2024
Code Navigator

An internist like Corey Cudzilo 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.

Corey Cudzilo 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.63 for a new patient copayment and $24.46 for an established patient copayment.

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 Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
50968
License State
TN
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Location Map

Secondary Locations

  • 2240 Sutherland Ave Suite 103
    Knoxville, TN 37919
    (865) 588-8831
  • 744 Middle Creek Rd Ste 208
    Sevierville, TN 37862
    (865) 446-9725
  • 550 Fort Loudoun Medical Center Dr
    Lenoir City, TN 37772
    (865) 271-6000

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

50968 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross BlueShield of Tennessee

    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G06S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G07S $10 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G08S $30 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S04S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S24S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S25S $55 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S26S $40 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S27S $60 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
  • Cigna Healthcare

    • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 0 Indiv Med Deductible - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible - EPO
    • Connect Silver 5000 Indiv Med Deductible - EPO
    • Connect Silver CMS Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Corey Cudzilo 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: 5092946087

    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: I20140626002201

    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

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen contents, gaseous, 1 month's supply = 1 unit (HCPCS:E0443)

    1 DME suppliers used 12 Medicare Claims 17 Services Paid

  • Other DME (D1E)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 30 Medicare Claims 30 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 24 Medicare Claims 24 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 16 Medicare Claims 16 Services Paid

Physician Visit Costs

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 37919 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.52
  • Minimum New Patient Price $54.58
  • Maximum New Patient Price $167.19
  • Average New Patient Copayment $31.63
  • Minimum New Patient Copayment $13.64
  • Maximum New Patient Copayment $41.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.84
  • Minimum Established Patient Price $16.86
  • Maximum Established Patient Price $136.82
  • Average Established Patient Copayment $24.46
  • Minimum Established Patient Copayment $4.21
  • Maximum Established Patient Copayment $34.2

* 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.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 15

    Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

  • 14

    Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

Hospital Affiliations

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. Corey Cudzilo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FORT SANDERS REGIONAL MEDICAL CENTER1901 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-1101Acute Care Hospitals
PARKWEST MEDICAL CENTER9352 PARK WEST BLVD
KNOXVILLE, TN 37923
(865) 970-9800Acute Care Hospitals

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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.
1003012022
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 0 + 4 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003012022 is valid because the calculated check digit 2 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
1992209936 NICHOLAS CHASE REED DO
Individual
Internal Medicine6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 909-0090
1063830826 RACHEL GUTHRIE SAMUEL DO
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1427700368 PAUL BARNETTE APRN
Individual
Nurse Practitioner (Family)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 909-0090
1225692049DR. DANIEL DENEVE MD
Individual
Internal Medicine6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(201) 669-2165
1245893544 ERIC YI DO
Individual
Internal Medicine6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 909-0090
1710340906 ZULMA GARCIA SWANK
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 909-0090
1932806700 MADELINE WEST PA-C
Individual
Physician Assistant6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 909-0090
1538857891MR. DANIEL JORDAN SMALLEN RN
Individual
Nurse Practitioner (Acute Care)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 909-0090
1437838463 SYDNEY NELSON STOOKSBURY
Individual
Nurse Practitioner6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1013953918 CHRISTIAN L STAUBER MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1083609564DR. JOHN WILLIAM SWISHER PHD, M.D.
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1205871423 AARON L RITTGERS MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1245259605 JENNIFER W BUTLER ANP-BC
Individual
Nurse Practitioner (Adult Health)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1265477400 SHANNON L BYRD MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1265621544MR. ERIC MICHAEL WEAVER MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1326314782 KATHERINE MARGARET JOHNSON APRN-FNP-BC
Individual
Nurse Practitioner6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1467498097 JESSE T DOERS MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1477684405DR. MATTHEW M REICHERT M.D.
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1578535043 JAMES D PHARAOH MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831
1639115496 PHILLIP LYNN NICHOLS II MD
Individual
Internal Medicine (Pulmonary Disease)6473 KINGSTON PIKE
KNOXVILLE, TN 37919
(865) 588-8831

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012022, enumerated in the NPI registry as an "individual" on June 26, 2007

The provider is located at 6473 Kingston Pike Knoxville, Tn 37919 and the phone number is (865) 588-8831

The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider has more than 17 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2007.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 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 $126.52 with an average copayment of $31.63 for new patient appointments. Established patients should expect a typical charge of $97.84 and an average copayment of 24.46. 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: Insertion of central venous catheter for infusion, patient 5 years or older and Emergent insertion of breathing tube into windpipe cartilage using an endoscope.

The practitioner is affiliated to the following hospital(s): FORT SANDERS REGIONAL MEDICAL CENTER and PARKWEST MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 26, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.