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ANNE MAINARDI M.D.
NPI 1093151367
Internal Medicine - Pulmonary Disease in Chattanooga, TN

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
979 E 3RD ST STE C735, CHATTANOOGA, TN 37403(423) 778-9101(423) 778-9190 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anne Mainardi M.d. NPPES

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

ANNE MAINARDI M.D. (NPI 1093151367) is an individual pulmonary disease provider in Chattanooga, Tennessee, licensed in Tennessee (59721) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2013).

NPPES Registry Identity

NPI1093151367
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameANNE MAINARDICredential: M.D.
Location Address979 E 3RD ST STE C735Chattanooga, TN 37403-3310
Mailing Address979 E 3rd St Ste C735Chattanooga, TN 37403-3310 · (423) 778-9101 · Fax (423) 778-9190
Phone(423) 778-9101
Fax(423) 778-9190
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1093151367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TN · 59721
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 59721 (TN)
979 E 3RD ST STE C735, Chattanooga, TN 37403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., 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

Anne Mainardi 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 ID1850602061
PECOS Enrollment IDI20191028000987
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 6

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.

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.
82 services32 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.
62 services32 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.
46 services36 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.
36 services36 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
20 services20 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.26 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 4

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

ELWYN C CLARK DO
Internal Medicine (Critical Care Medicine)
979 E 3RD ST STE C735
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9101
ADAM ISAAC HUMPHREY PA-C
Physician Assistant (Medical)
979 E 3RD ST STE C735
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9101
JEREMY ADAM GREENBERG M.D.
Internal Medicine (Critical Care Medicine)
979 E 3RD ST STE C735
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9101
RADHIKA SHAH M.D.
Internal Medicine (Pulmonary Disease)
979 E 3RD ST STE C735
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9101

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 Anne Mainardi's NPI number?

The NPI number for Anne Mainardi is 1093151367. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Anne Mainardi located?

Anne Mainardi practices at 979 E 3rd St Ste C735, Chattanooga, TN 37403. The listed phone number is (423) 778-9101.

What is Anne Mainardi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anne Mainardi enrolled in Medicare?

Yes. Anne Mainardi 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 Anne Mainardi accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Anne Mainardi 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 Anne Mainardi affiliated with any hospitals?

According to CMS data, Anne Mainardi is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Anne Mainardi was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.