COREY CUDZILO M.D. NPI 1003012022

Internal Medicine (Pulmonary Disease) in Knoxville, TN

NPI 1003012022 Individual Male Years of Experience 15 Internal Medicine Pulmonary Disease PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 30

NPI Profile for COREY CUDZILO M.D.

Corey Cudzilo is an internal medicine provider established in Knoxville, Tennessee and his medical specialization is internal medicine (pulmonary disease) with more than 15 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2007. The NPI number of Corey Cudzilo 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 3 years ago.

An internist like Corey Cudzilo M.d. 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, 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.

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.

NPI

1003012022

Provider Name COREY CUDZILO M.D.
Provider Location Address2240 SUTHERLAND AVE SUITE 103 KNOXVILLE, TN 37919
Provider 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
Is Organization Subpart?N/A
Enumeration Date06-26-2007
Last Update Date05-14-2019


Primary Taxonomy

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

COREY CUDZILO M.D.
2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN
ZIP 37919
Phone: (865) 588-8831
Fax: (865) 588-8841

Get Directions


Mailing Address

COREY CUDZILO M.D.
PO BOX 94670
OKLAHOMA CITY, OK
ZIP 73143
Phone: (405) 682-3303
Fax: (405) 384-6793



Secondary Locations

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772
(865) 271-6000
744 Middle Creek Rd Ste 208
Sevierville, TN 37862
(865) 446-9725

PECOS Enrollment and Medicare Participation

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? 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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.

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 - 30
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)

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 CENTER1901 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-1101Acute Care Hospitals440125

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 step by step the 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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Corey Cudzilo M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.