ANDREW THOMAS MCRAE MD
NPI 1053406405
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Nashville, TN

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
85.05/100
CMS Quality Rating
2400 PATTERSON ST, SUITE 502, NASHVILLE, TN 37203(615) 515-2100(615) 515-1993 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2022, May 9, 2017 (2 updates tracked since 2017).

About Andrew Thomas Mcrae Md NPPES

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

ANDREW THOMAS MCRAE MD (NPI 1053406405) is an individual advanced heart failure and transplant cardiology provider in Nashville, Tennessee, licensed in Tennessee (37263) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Greenview Regional Hospital, and is a graduate of Mercer University School Of Medicine (1996).

NPPES Registry Identity

NPI1053406405
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameANDREW THOMAS MCRAECredential: MD
Location Address2400 PATTERSON ST, SUITE 502Nashville, TN 37203-1562
Mailing Address2400 Patterson St, Suite 502Nashville, TN 37203-1562 · (615) 515-2100 · Fax (615) 515-1993
Fax(615) 515-1993
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1996
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPI 1053406405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in TN · 37263
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD37263 (TN)
2400 PATTERSON ST, Nashville, TN 37203

Other Identifiers 3

Medicaid3884128TN
Medicaid64073240KY
OtherP00396447TN · Rr Medicare

Accepted 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

Andrew Thomas Mcrae Md 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 ID6507752631
PECOS Enrollment IDI20040225000987, I20070711000389
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 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
456 services356 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
378 services53 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
363 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
147 services63 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
143 services138 patients

Hospital Affiliations CMS Care Compare 5

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

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

85.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.41
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
66%614 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,295 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%834 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
64%1,294 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%1,236 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%784 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 867 patients
Patients totalRate: 0% · 867 patients
0%867 patients5/55-star benchmark: 100%
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

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims21 services$35.58 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 20

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2400 PATTERSON ST, SUITE 215
NASHVILLE, TN 37203
Internal Medicine
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Nurse Practitioner (Primary Care)
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Physician Assistant (Surgical)
2400 PATTERSON ST, SUITE 300
NASHVILLE, TN 37203
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2400 PATTERSON ST, SUITE 502
NASHVILLE, TN 37203
Nurse Practitioner (Acute Care)
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203
Neurological Surgery
2400 PATTERSON ST, SUITE 319
NASHVILLE, TN 37203
Physical Therapist
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203

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 Andrew Mcrae's NPI number?

The NPI number for Andrew Mcrae is 1053406405. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Andrew Mcrae located?

Andrew Mcrae practices at 2400 Patterson St Suite 502, Nashville, TN 37203. The listed phone number is (615) 515-2100.

What is Andrew Mcrae's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Andrew Mcrae enrolled in Medicare?

Yes. Andrew Mcrae 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 Andrew Mcrae accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Andrew Mcrae 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 Andrew Mcrae affiliated with any hospitals?

According to CMS data, Andrew Mcrae is affiliated with Tristar Greenview Regional Hospital, The Medical Center At Franklin, Tristar Horizon Medical Center, Tristar Summit Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Mcrae was last updated on January 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.