DR. THOMAS G KINCER M.D.
NPI 1114994357
Family Medicine in Johnson City, TN

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464(423) 439-7118 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas G Kincer M.d. NPPES

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

DR. THOMAS G KINCER M.D. (NPI 1114994357) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (27201) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Kentucky College Of Medicine (1989).

NPPES Registry Identity

NPI1114994357
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS G KINCERCredential: M.D.
Location Address917 W WALNUT STJohnson City, TN 37604-6527
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 433-6050
Fax(423) 439-7118
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1989
Enumeration DateMarch 7, 2006
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1114994357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 27201
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
917 W WALNUT ST, Johnson City, TN 37604

Secondary Practice Locations 2

Location 1102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600 · Fax (423) 245-9634
Location 2208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050 · Fax (423) 990-3044

Other Identifiers 9

Other630813275AL · Champus
Other0110177AL · United Healthcare
MedicaidQ063793TN
Other000038547AL · Commercial Prv
Other000038547AL · Commericial Grp
Other000038547AL · Workman Comp
Medicaid000038547AL
Other051038547Blue Cross Blue Shield
OtherP00196930AL · Railroad Medicare

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

Dr. Thomas G Kincer 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 ID5890810493
PECOS Enrollment IDI20210217000698
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%84 patients4/55-star benchmark: 92%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
89%57 patients4/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%402 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
81%219 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%192 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%141 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%202 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%192 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 141 patients
11%141 patients2/55-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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$27.00 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
3 suppliers18 claims18 services$83.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$34.10 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.

Social Worker (Clinical)
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604

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 Kincer's NPI number?

The NPI number for Thomas Kincer is 1114994357. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Thomas Kincer located?

Thomas Kincer practices at 917 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 439-6464.

What is Thomas Kincer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Kincer enrolled in Medicare?

Yes. Thomas Kincer 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 Kincer accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Thomas Kincer 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.

When was this NPI record last updated?

The NPPES record for Thomas Kincer was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.