MOUNTAIN EMPIRE RADIOLOGY INC PC
NPI 1093762759
Radiology - Diagnostic Radiology in Johnson City, TN
About Mountain Empire Radiology Inc Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN EMPIRE RADIOLOGY INC PC (NPI 1093762759) is a healthcare organization registered as a diagnostic radiology in Johnson City, Tennessee and active in the NPI registry since May 2006. The organization lists David C Lucas, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain Empire Radiology Inc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Mountain Empire Radiology Inc PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 39Johnson City, TN 37604
Johnson City, TN 37604
Johnson City, TN 37604
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mountain Empire Radiology Inc PC's NPI number?
The NPI number for Mountain Empire Radiology Inc PC is 1093762759. It was assigned to this organization in the NPPES registry on May 28, 2006.
Where is Mountain Empire Radiology Inc PC located?
Mountain Empire Radiology Inc PC is located at 1301 Sunset Dr Ste 3, Johnson City, TN 37604. The listed phone number is (423) 926-4966.
What is Mountain Empire Radiology Inc PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mountain Empire Radiology Inc PC enrolled in Medicare?
Yes. Mountain Empire Radiology Inc PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Empire Radiology Inc PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 3 Medicare specialties reassign their Medicare billing to Mountain Empire Radiology Inc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (35), Interventional Radiology (2) and Nurse Practitioner (2). Of these, 9 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mountain Empire Radiology Inc PC was last updated on August 22, 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.
# Mountain Empire Radiology Inc Pc · NPI 1093762759
Diagnostic Radiology organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since May 28, 2006.
## Identity
- **NPI:** 1093762759 (Entity type: Organization)
- **Enumerated:** May 28, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** David Lucas, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 1301 SUNSET DR, STE 3, Johnson City, TN 37604-7906
- **Phone:** (423) 926-4966 · **Fax:** (423) 926-1823
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (35), Interventional Radiology (2), Nurse Practitioner (2); 9 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1093762759/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 65927972 (KY); Medicaid 3378531 (TN); Other 8902245 (NC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1093762759) · Data from the CMS NPPES public registry.