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DR. LOVIE A STALLWORTH M.D.
NPI 1013998327
Internal Medicine in Middlesboro, KY

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
1217 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 242-2077(606) 242-2027 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Sep 14, 2018, Jun 18, 2018 (3 updates tracked since 2018).

About Dr. Lovie A Stallworth M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOVIE A STALLWORTH M.D. (NPI 1013998327) is an individual internal medicine provider in Middlesboro, Kentucky, licensed in Tennessee (34513) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and maintains a secondary practice location in Middlesboro.

NPPES Registry Identity

NPI1013998327
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LOVIE A STALLWORTHCredential: M.D.
Location Address1217 CUMBERLAND AVEMiddlesboro, KY 40965
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(606) 242-2077
Fax(606) 242-2027
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1995
Enumeration DateNovember 14, 2005
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1013998327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 34513
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 40788 (KY)
Also ListedPediatricsTaxonomy 208000000X · License 40788 (KY)
1217 CUMBERLAND AVE, Middlesboro, KY 40965
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Secondary Practice Location 1

Location 13600 Cumberland AveMiddlesboro, KY 40965-2614 · Phone (606) 242-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lovie A Stallworth M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577663863
PECOS Enrollment IDI20070716000612, I20130109000762
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
185 services170 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
156 services142 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.1
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
21%38 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
90%1,217 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%377 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
3%332 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%831 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 267 patients
0%267 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$94.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$38.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APPALACHIAN REGIONAL HEALTHCARE, INC.
Durable Medical Equipment & Medical Supplies
1217 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 248-2225
APPALACHIAN REGIONAL HEALTHCARE, INC.
Home Health
1217 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 248-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lovie Stallworth's NPI number?

The NPI number for Lovie Stallworth is 1013998327. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Lovie Stallworth located?

Lovie Stallworth practices at 1217 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 242-2077.

What is Lovie Stallworth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lovie Stallworth enrolled in Medicare?

Yes. Lovie Stallworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lovie Stallworth accept?

Health plans from BlueCross BlueShield of Tennessee list Lovie Stallworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lovie Stallworth affiliated with any hospitals?

According to CMS data, Lovie Stallworth is affiliated with Middlesboro Arh Hospital and Morristown Hamblen Hospital Association.

When was this NPI record last updated?

The NPPES record for Lovie Stallworth was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.