DR. LORAINE O. ACHEBE M.D
NPI 1073807582
Hospitalist in Cleveland, TN

Q: What is Loraine Achebe's NPI number?

The NPI number for Loraine Achebe is 1073807582. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Loraine Achebe's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Loraine Achebe was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment

2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 559-6000 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2021, Jun 15, 2016 (2 updates tracked since 2016).

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About Dr. Loraine O. Achebe M.d NPPES

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

DR. LORAINE O. ACHEBE M.D (NPI 1073807582) is an individual hospitalist provider in Cleveland, Tennessee, licensed in Tennessee (51597) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1073807582

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. LORAINE O. ACHEBECredential: M.D

Location Address2305 CHAMBLISS AVE NWCleveland, TN 37311-3847

Mailing Address9801 Jupiter Forest DrBrentwood, TN 37027-8591

Phone(423) 559-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 1, 2011

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1073807582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TN · 51597

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 51597 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2305 CHAMBLISS AVE NW, Cleveland, TN 37311

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Secondary Practice Location 1

Location 14220 Harding PikeNashville, TN 37205 · Phone (615) 222-6977

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Loraine O. Achebe 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 ID6507172434

PECOS Enrollment IDI20150908002418

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.

Medicare Billing Reassignments

Medicare enrollment records show Loraine Achebe reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Physician Services PC

68 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
1,085 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

App Of Tennessee Hm, PLLC

93 mi

Hospitalist

2835 HIGHWAY 231 N
Shelbyville, TN 37160

Reassigned Medicare billing, Tennessee enrollment
498 clinicians in this Medicare group

NPI 1396160768 (931) 685-5433

Saint Thomas Medical Partners

121 mi

Gynecology

4601 CAROTHERS PARKWAY, STE. 350
Franklin, TN 37067

Reassigned Medicare billing, Tennessee enrollment
1,304 clinicians in this Medicare group

NPI 1164679411 (615) 284-4664

Hospital Medicine Services Of Tn, LLC

128 mi

Hospitalist

2300 PATTERSON ST
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
420 clinicians in this Medicare group

NPI 1982301065 (615) 342-1001

Cogent Healthcare Of Tennessee, PC

261 mi

Internal Medicine

400 E TICKLE ST
Dyersburg, TN 38024

Reassigned Medicare billing, Tennessee enrollment
142 clinicians in this Medicare group

NPI 1952654246 (731) 285-2410

Hospital Medicine Services Of Tennessee PC

271 mi

Hospitalist

600 WILSON CREEK RD
Lawrenceburg, IN 47025

Reassigned Medicare billing, Tennessee enrollment
394 clinicians in this Medicare group

NPI 1528433802 (812) 537-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

58 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

57 services34 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

31 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%20 patients4/55-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 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

2 suppliers28 claims28 services$15.11 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers29 claims29 services$5.03 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

2 suppliers28 claims28 services$71.91 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.

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