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 16 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 Address2240 SUTHERLAND AVE SUITE 103 KNOXVILLE, TN 37919
Location Phone(865) 588-8831
Mailing AddressPO BOX 94670 OKLAHOMA CITY, OK 73143
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date06-26-2007
Last Update Date05-14-2019

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 but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 45, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



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 Code207RP1001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.50968
License StateTN
Taxonomy DescriptionAn 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

Get Directions


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 ID5092946087
PECOS Enrollment IDI20140626002201
Accepts Medicare Assignment? Maybe "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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 45
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

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.

  • 29X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 26Measurement of lung diffusing capacity (HCPCS:94729)
  • 23Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • 20Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • 17Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

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
1207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine50968TNNo

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.
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
1770584898DR. JACK BENHAYON MD
Individual
Internal Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1255376513 DAVID JERDEN MD
Individual
Internal Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1275578353 MARIA HERMAN-GORRONDONA MD
Individual
Internal Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1710922893 DRAGOS M MUNTEANU MD
Individual
Internal Medicine2240 SUTHERLAND AVE STE 104
KNOXVILLE, TN 37919
(865) 909-0090
1659317691 JENNIFER L MOSLEY MD
Individual
Internal Medicine2240 SUTHERLAND AVE STE 104
KNOXVILLE, TN 37919
(865) 909-0090
1700812286 ILEANA G MUNTEANU MD
Individual
Internal Medicine2240 SUTHERLAND AVE STE 104
KNOXVILLE, TN 37919
(865) 909-0090
1669409645 MICHAEL BRIAN FLOWERS MD
Individual
Internal Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1558398545 CHARLES C WILDER MD
Individual
Internal Medicine2240 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
1033143524DR. JAMES A MILLER M.D.
Individual
Internal Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1508968926DR. MARK THOMAS WEAVER M.D.
Individual
Internal Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1174621700DR. SOMMER DEA WILLIAMS M.D.
Individual
Internal Medicine2240 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 Medicine2240 SUTHERLAND AVE SUITE 104
KNOXVILLE, TN 37919
(865) 909-0090
1427219302DR. ABIGAIL DE GUZMAN D.O.
Individual
Internal Medicine2240 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 Assistant2240 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 16 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 January 10, 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: X-ray of chest, 2 views, front and side, Measurement of lung diffusing capacity, Insertion of central venous catheter for infusion, patient 5 years or older, Measurement and graphic recording of total and timed exhaled air capacity and Emergent insertion of breathing tube into windpipe cartilage using an endoscope.

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]
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 at: [email protected]