DR. LUIS E ZAYAS-RODRIGUEZ MD
NPI 1184823312
Psychiatry & Neurology - Neurology in Clinton, TN

Q: What is Luis Zayas-rodriguez's NPI number?

The NPI number for Luis Zayas-rodriguez is 1184823312. It was assigned to this individual provider in the NPPES registry on July 17, 2007. The provider is also known as Dr. Luis E Zayas-Rodriguez MD.

Q: What is Luis Zayas-rodriguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment

155 FRANK L DIGGS DR, CLINTON, TN 37716(865) 666-4411(615) 538-9421 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 13, 2025, Feb 13, 2025, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Luis E Zayas-rodriguez Md NPPES

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

DR. LUIS E ZAYAS-RODRIGUEZ MD (NPI 1184823312) is an individual neurology provider in Clinton, Tennessee, licensed in Tennessee (62582) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1184823312

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. LUIS E ZAYAS-RODRIGUEZCredential: MD

Location Address155 FRANK L DIGGS DRClinton, TN 37716-6953

Mailing Address155 Frank L Diggs DrClinton, TN 37716-6953 · (865) 666-4411 · Fax (615) 538-9421

Phone(865) 666-4411

Fax(615) 538-9421

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 17, 2007

Last NPPES UpdateMay 13, 20254 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1184823312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TN · 62582

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

155 FRANK L DIGGS DR, Clinton, TN 37716

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Other Names 1

Former Name (1)Dr. Luis E Zayas-rodriguez Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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. Luis E Zayas-rodriguez Md 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 ID5698909935

PECOS Enrollment IDI20210422002435

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 Luis Zayas-rodriguez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gem Neurology PLLC

Same address

Neurology

155 FRANK L DIGGS DR
Clinton, TN 37716

Reassigned Medicare billing, Tennessee enrollment

NPI 1780407916 (865) 666-4411

University Health System, Inc

10 mi

Family Medicine

2587 WILLOW POINT WAY
Knoxville, TN 37931

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

NPI 1235182197 (865) 694-9998

Wellmont Medical Associates, Inc.

75 mi

Internal Medicine

405 SCENIC DR, SUITE A
Rogersville, TN 37857

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

NPI 1689032575 (423) 921-3490

Blue Ridge Medical Management Corporation

77 mi

Obstetrics & Gynecology

900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857

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

NPI 1134139017 (423) 272-0542

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 9

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 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.

299 services219 patients

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

118 services47 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

110 services80 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

87 services44 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.

73 services68 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

66 services66 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440110

Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County

Emergency services

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37716 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.

Other Providers at the Same Location NPPES 2

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

GEM NEUROLOGY PLLC

Psychiatry & Neurology (Neurology)

155 FRANK L DIGGS DR
CLINTON, TN 37716

Anderson County (865) 666-4411

HAVEN LILLIAN PRESSLEY

Nurse Practitioner (Family)

155 FRANK L DIGGS DR
CLINTON, TN 37716

Anderson County (865) 666-4411

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 Luis Zayas-rodriguez's NPI number?

The NPI number for Luis Zayas-rodriguez is 1184823312. It was assigned to this individual provider in the NPPES registry on July 17, 2007. The provider is also known as Dr. Luis E Zayas-Rodriguez MD.

Where is Luis Zayas-rodriguez located?

Luis Zayas-rodriguez practices at 155 Frank L Diggs Dr, Clinton, TN 37716. The listed phone number is (865) 666-4411.

What is Luis Zayas-rodriguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Luis Zayas-rodriguez enrolled in Medicare?

Yes. Luis Zayas-rodriguez 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.

Which organizations bill Medicare for Luis Zayas-rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Zayas-rodriguez reassigns Medicare benefits to 4 organizations: Gem Neurology PLLC (Clinton, TN), University Health System, Inc (Knoxville, TN), Wellmont Medical Associates, Inc. (Rogersville, TN) and Blue Ridge Medical Management Corporation (Rogersville, TN). Each 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 Luis Zayas-rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Zayas-rodriguez accept?

Health plans from BlueCross BlueShield of Tennessee list Luis Zayas-rodriguez 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 Luis Zayas-rodriguez affiliated with any hospitals?

According to CMS data, Luis Zayas-rodriguez is affiliated with Wellmont Bristol Regional Medical Center, University Health System, Inc, Johnson City Medical Center, Fort Loudoun Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Luis Zayas-rodriguez was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.