COREY CUDZILO M.D. NPI 1003012022
Internal Medicine - Pulmonary Disease in Knoxville, TN
About COREY CUDZILO M.D.
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 NPI number of this provider is 1003012022 and was 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 4 years ago.
| NPI | 1003012022 |
| Provider Name | COREY CUDZILO M.D. |
| Location Address | 2240 SUTHERLAND AVE SUITE 103 KNOXVILLE, TN 37919 |
| Location Phone | (865) 588-8831 |
| Mailing Address | PO BOX 94670 OKLAHOMA CITY, OK 73143 |
| Gender | Male |
| NPI Entity Type | Individual |
| 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 | 05-14-2019 |
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 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.
Corey Cudzilo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Fort Sanders Regional Medical Center and Parkwest Medical Center.
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.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RP1001X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Pulmonary Disease |
| 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. |
Business Address
2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN
ZIP 37919
Phone: (865) 588-8831
Fax: (865) 588-8841
Mailing Address
PO BOX 94670
OKLAHOMA CITY, OK
ZIP 73143
Phone: (405) 682-3303
Fax: (405) 384-6793
Secondary Locations
744 Middle Creek Rd Ste 208
Sevierville, TN 37862
(865) 446-9725550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772
(865) 271-6000
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5092946087 |
| PECOS Enrollment ID | I20140626002201 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 37919 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $54.58 | $167.19 | $126.52 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.64 | $41.79 | $31.63 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.86 | $136.82 | $97.84 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.21 | $34.2 | $24.46 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 15Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
- 14Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| FORT SANDERS REGIONAL MEDICAL CENTER | 1901 W CLINCH AVE KNOXVILLE, TN 37916 | (865) 541-1101 | Acute Care Hospitals | 440125 | |
| PARKWEST MEDICAL CENTER | 9352 PARK WEST BLVD KNOXVILLE, TN 37923 | (865) 970-9800 | Acute Care Hospitals | 440173 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 50968 | TN | No |
Taxonomy Description: an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. | |||||||
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 | 0 | 0 | 3 | 0 | 1 | 2 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 4 | 0 | 4 | |
| 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 = 2 | 2 | ||||||||
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 |
|---|---|---|---|
| 1770584898 | DR. JACK BENHAYON MD Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1255376513 | DAVID JERDEN MD Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1275578353 | MARIA HERMAN-GORRONDONA MD Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1710922893 | DRAGOS M MUNTEANU MD Individual | Internal Medicine | 2240 SUTHERLAND AVE STE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1659317691 | JENNIFER L MOSLEY MD Individual | Internal Medicine | 2240 SUTHERLAND AVE STE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1700812286 | ILEANA G MUNTEANU MD Individual | Internal Medicine | 2240 SUTHERLAND AVE STE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1669409645 | MICHAEL BRIAN FLOWERS MD Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1558398545 | CHARLES C WILDER MD Individual | Internal Medicine | 2240 SUTHERLAND AVE STE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1679500102 | MICHAEL DEAN BRUNSON MD Individual | Internal Medicine (Pulmonary Disease) | 2240 SUTHERLAND AVE SUITE 103 KNOXVILLE, TN 37919 (865) 588-8831 |
| 1033143524 | DR. JAMES A MILLER M.D. Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1508968926 | DR. MARK THOMAS WEAVER M.D. Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1174621700 | DR. SOMMER DEA WILLIAMS M.D. Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1588752505 | KATHERINE A SCHOELLER NP Individual | Nurse Practitioner (Family) | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1891870762 | ALANA LEE MERRILL ADULT NURSE PRACTITI Individual | Nurse Practitioner (Adult Health) | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1649492547 | SCOTT D OBERLIN M.D. Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1427219302 | DR. ABIGAIL DE GUZMAN D.O. Individual | Internal Medicine | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1891028056 | JENNIFER N SMITH FNP-BC Individual | Nurse Practitioner (Family) | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1134433998 | CECILY RACHEAL PATMON FNP Individual | Nurse Practitioner (Family) | 2240 SUTHERLAND AVE KNOXVILLE, TN 37919 (865) 909-0090 |
| 1134426257 | CATHERINE DAILEY NEAL PA Individual | Physician Assistant | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
| 1336439322 | AUTUMN M ROBBINS FNP Individual | Nurse Practitioner (Family) | 2240 SUTHERLAND AVE SUITE 104 KNOXVILLE, TN 37919 (865) 909-0090 |
Frequently Asked Questions
What is Corey Cudzilo M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003012022, registered as an "individual" on June 26, 2007
Where is Corey Cudzilo M.D. located?
The provider is located at 2240 Sutherland Ave Suite 103 Knoxville, Tn 37919 and the phone number is (865) 588-8831
Which is Corey Cudzilo M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Pulmonary Disease
How many years of experience does Corey Cudzilo M.D. have?
The provider has more than 17 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2007.
Is Corey Cudzilo M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
How much is a visit to Corey Cudzilo M.D.?
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.
What are some of the services provided by Corey Cudzilo M.D.?
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.
Is Corey Cudzilo M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: 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.
How do I update my NPI information?
The NPI record of Corey Cudzilo M.D. 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].
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