DR. JAMAL GERGES MAATOUK MD
NPI 1205016060
Internal Medicine - Medical Oncology in Johnson City, TN

Q: What is Jamal Maatouk's NPI number?

The NPI number for Jamal Maatouk is 1205016060. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Q: What is Jamal Maatouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Jamal Maatouk was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment

378 MARKETPLACE BLVD STE 6, JOHNSON CITY, TN 37604(423) 656-0716 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Nov 15, 2019 (2 updates tracked since 2019).

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About Dr. Jamal Gerges Maatouk Md NPPES

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

DR. JAMAL GERGES MAATOUK MD (NPI 1205016060) is an individual medical oncology provider in Johnson City, Tennessee, licensed in Tennessee (46076) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1205016060

Entity TypeIndividualFemale

Primary Taxonomy207RX0202X

Provider Legal NameDR. JAMAL GERGES MAATOUKCredential: MD

Location Address378 MARKETPLACE BLVD STE 6Johnson City, TN 37604-2361

Mailing Address2004 Hayes St Ste 800Nashville, TN 37203-2659 · (615) 329-0570

Phone(423) 656-0716

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 9, 2007

Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1205016060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in TN · 46076

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

378 MARKETPLACE BLVD STE 6, Johnson City, TN 37604

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Secondary Practice Location 1

Location 11967 Hawks Lndg Fl 2Louisville, TN 37777-3093 · Phone (865) 284-4575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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. Jamal Gerges Maatouk 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 ID6709910110

PECOS Enrollment IDI20100819000906, I20241210000865

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 Jamal Maatouk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thompson Oncology Group

90 mi

Hematology & Oncology

1915 WHITE AVE
Knoxville, TN 37916

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

NPI 1619975737 (865) 541-1720

Tennessee Oncology

185 mi

Diagnostic Radiology

1032 MCCALLIE AVE STE 200
Chattanooga, TN 37403

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

NPI 1912623364 (423) 708-6495

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 12

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 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.

210 services127 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

122 services105 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

75 services45 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

71 services44 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

65 services40 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

27 services24 patients

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.

26 services16 patients

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.

23 services15 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.

16 services16 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

13 services13 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

13 services13 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

12 services12 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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

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

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440184

Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

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

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

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 3

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

LESLIE SULLINS FNP-C

Nurse Practitioner (Family)

378 MARKETPLACE BLVD STE 6
JOHNSON CITY, TN 37604

Washington County (423) 656-0716

TENNESSEE ONCOLOGY

Internal Medicine

378 MARKETPLACE BLVD STE 6
JOHNSON CITY, TN 37604

Washington County (423) 656-0716

TENNESSEE ONCOLOGY, PLLC

Pharmacy (Community/Retail Pharmacy)

378 MARKETPLACE BLVD STE 6
JOHNSON CITY, TN 37604

Washington County (423) 568-8320

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 Jamal Maatouk's NPI number?

The NPI number for Jamal Maatouk is 1205016060. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Jamal Maatouk located?

Jamal Maatouk practices at 378 Marketplace Blvd Ste 6, Johnson City, TN 37604. The listed phone number is (423) 656-0716.

What is Jamal Maatouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Jamal Maatouk enrolled in Medicare?

Yes. Jamal Maatouk 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 Jamal Maatouk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamal Maatouk reassigns Medicare benefits to 2 organizations: Thompson Oncology Group (Knoxville, TN) and Tennessee Oncology (Chattanooga, 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 Jamal Maatouk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamal Maatouk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Jamal Maatouk 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 Jamal Maatouk affiliated with any hospitals?

According to CMS data, Jamal Maatouk is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Johnson City Medical Center, Indian Path Community Hospital and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Jamal Maatouk was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.