DR. TIDENCE LANE PRINCE MD
NPI 1215922356
Allergy & Immunology in Maryville, TN

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
616 W. LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37801(865) 273-0008 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 2, 2026, Sep 11, 2024 (2 updates tracked since 2024).

About Dr. Tidence Lane Prince Md NPPES

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

DR. TIDENCE LANE PRINCE MD (NPI 1215922356) is an individual allergy & immunology provider in Maryville, Tennessee, licensed in Tennessee (21247) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1989).

NPPES Registry Identity

NPI1215922356
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. TIDENCE LANE PRINCECredential: MD
Location Address616 W. LAMAR ALEXANDER PARKWAYMaryville, TN 37801-4763
Mailing Address616 W. Lamar Alexander ParkwayMaryville, TN 37801-7360 · (865) 273-0008
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1989
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
NPI 1215922356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in TN · 21247
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
616 W. LAMAR ALEXANDER PARKWAY, Maryville, TN 37801

Other Identifiers 1

Medicaid3068515TN

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. Tidence Lane Prince 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 ID3375585276
PECOS Enrollment IDI20050601000274
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 21

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.

Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575
This procedure involves an injection of Hyqvia, a combination of immune globulin and hyaluronidase. Immune globulin helps your body fight off infections, while hyaluronidase helps the immune globulin to spread in your body. It's used to treat certain immune system disorders.
59,575 services24 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
13,061 services419 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
4,508 services66 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
2,423 services550 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
1,001 services61 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
347 services93 patients

Hospital Affiliations CMS Care Compare 3

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount 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

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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
11 suppliers285 claims972 services$18.48 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
9 suppliers208 claims620 services$36.10 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims22 services$7.60 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
6 suppliers43 claims43 services$12.30 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
3 suppliers19 claims20 services$168.16 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
5 suppliers162 claims70,580 services$11.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tidence Prince's NPI number?

The NPI number for Tidence Prince is 1215922356. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Tidence Prince located?

Tidence Prince practices at 616 W. Lamar Alexander Parkway, Maryville, TN 37801. The listed phone number is (865) 273-0008.

What is Tidence Prince's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Tidence Prince enrolled in Medicare?

Yes. Tidence Prince 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 Tidence Prince accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Tidence Prince 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 Tidence Prince affiliated with any hospitals?

According to CMS data, Tidence Prince is affiliated with Blount Memorial Hospital, Fort Loudoun Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Tidence Prince was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.