CLAUDIA C GAMMON FNP-BC
NPI 1063523074
Nurse Practitioner - Family in Maryville, TN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
463 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 980-5100(865) 980-5105 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2023, Jun 17, 2020 (2 updates tracked since 2020).

About Claudia C Gammon Fnp-bc NPPES

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

CLAUDIA C GAMMON FNP-BC (NPI 1063523074) is an individual family provider in Maryville, Tennessee, licensed in Tennessee (APN0000012223) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063523074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAUDIA C GAMMONCredential: FNP-BC
Location Address463 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5807
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(865) 980-5105
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
NPI 1063523074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN0000012223
463 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

Other Identifiers 1

Medicaid1505058TN

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

Claudia C Gammon Fnp-bc 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 ID6204838865
PECOS Enrollment IDI20070210000042
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.

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.
381 services301 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.
211 services177 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers978 claims978 services$33.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers535 claims535 services$77.31 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers612 claims1,446 services$30.98 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers375 claims1,800 services$17.36 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers233 claims1,154 services$13.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
13 suppliers549 claims549 services$48.09 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 12

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

Physician Assistant
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Psychiatry & Neurology (Neurocritical Care)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Nurse Practitioner (Family)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

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 Claudia Gammon's NPI number?

The NPI number for Claudia Gammon is 1063523074. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Claudia Gammon located?

Claudia Gammon practices at 463 Bmh Physicians Office Bldg, Maryville, TN 37804. The listed phone number is (865) 980-5100.

What is Claudia Gammon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claudia Gammon enrolled in Medicare?

Yes. Claudia Gammon 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 Claudia Gammon accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Claudia Gammon 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 Claudia Gammon affiliated with any hospitals?

According to CMS data, Claudia Gammon is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Claudia Gammon was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.