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THOMAS L YOUNG MD
NPI 1053493791
Internal Medicine - Gastroenterology in Knoxville, TN

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1928 ALCOA HWY, STE 105, KNOXVILLE, TN 37920(865) 305-9595(865) 305-6556 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas L Young Md NPPES

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

THOMAS L YOUNG MD (NPI 1053493791) is an individual gastroenterology provider in Knoxville, Tennessee, licensed in Tennessee (MD12475) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1979).

NPPES Registry Identity

NPI1053493791
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTHOMAS L YOUNGCredential: MD
Location Address1928 ALCOA HWY, STE 105Knoxville, TN 37920-1502
Mailing AddressDept 888196Knoxville, TN 37995-0001 · (865) 670-6199 · Fax (865) 670-6198
Phone(865) 305-9595
Fax(865) 305-6556
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1979
Enumeration DateOctober 20, 2006
Last NPPES UpdateApril 28, 2015
✔ NPI 1053493791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · MD12475
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1928 ALCOA HWY, Knoxville, TN 37920
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Other Identifiers 4

Medicare PIN3016540TN
Medicare UPINA98054TN
Medicare PIN100013534TN
Medicaid3016540TN

Accepted Insurance

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

Thomas L Young 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 ID3476542432
PECOS Enrollment IDI20040506001208
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 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
128 services118 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.
127 services114 patients
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.
66 services65 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
51 services51 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
51 services51 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
59%145 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
84%812 patients3/55-star benchmark: 99%
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.

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.

DR. KATHERINE BONNER KAAK MD
Student in an Organized Health Care Education/Training Program
1928 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-8787
DR. MARK D ANDERSON MD
Internal Medicine (Gastroenterology)
1928 ALCOA HWY, B100
KNOXVILLE, TN 37920
Knox County (865) 544-6570
DR. DREW WILSON MILLER M.D.
Dermatology (MOHS-Micrographic Surgery)
1928 ALCOA HWY, STE 209
KNOXVILLE, TN 37920
Knox County (865) 524-2547
KNOXVILLE DERMATOLOGY GROUP PC
Dermatology
1928 ALCOA HWY, SUITE 209
KNOXVILLE, TN 37920
Knox County (865) 690-9467
DR. JACLYN BETH VAN NES M.D.
Obstetrics & Gynecology
1928 ALCOA HWY, MEDICAL BUILDING B SUITE 300
KNOXVILLE, TN 37920
Knox County (865) 305-9799
HUMBERTO RODRIGUEZ MD
Obstetrics & Gynecology (Gynecology)
1928 ALCOA HWY, STE 303
KNOXVILLE, TN 37920
Knox County (865) 305-9305
UNIVERSITY HEALTH SYSTEM, INC
Psychiatry & Neurology (Neurology)
1928 ALCOA HWY, STE 102
KNOXVILLE, TN 37920
Knox County (865) 305-6640
SHELBY ELAINE STRINGER MD
Obstetrics & Gynecology
1928 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-8787

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 Thomas Young's NPI number?

The NPI number for Thomas Young is 1053493791. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Thomas Young located?

Thomas Young practices at 1928 Alcoa Hwy Ste 105, Knoxville, TN 37920. The listed phone number is (865) 305-9595.

What is Thomas Young's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Young enrolled in Medicare?

Yes. Thomas Young 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 Thomas Young accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Thomas Young 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 Thomas Young affiliated with any hospitals?

According to CMS data, Thomas Young is affiliated with Blount Memorial Hospital and University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Young was last updated on April 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.