DR. PAUL EDWARD KUDELKO II DO
NPI 1225027014
Internal Medicine - Cardiovascular Disease in Hendersonville, TN

Q: What is Paul Kudelko's NPI number?

The NPI number for Paul Kudelko is 1225027014. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Paul Kudelko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Kudelko was last updated on February 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

353 NEW SHACKLE ISLAND RD, SUITE 300C, HENDERSONVILLE, TN 37075(615) 824-0043(615) 822-1690 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Paul Edward Kudelko Ii Do NPPES

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

DR. PAUL EDWARD KUDELKO II DO (NPI 1225027014) is an individual cardiovascular disease provider in Hendersonville, Tennessee, licensed in Tennessee (DO 2430) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (1993).

NPPES Registry Identity

NPI1225027014

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PAUL EDWARD KUDELKO IICredential: DO

Location Address353 NEW SHACKLE ISLAND RD, SUITE 300CHendersonville, TN 37075-2379

Mailing Address353 New Shackle Island Rd, Suite 300cHendersonville, TN 37075-2379 · (615) 824-0043 · Fax (615) 822-1690

Phone(615) 824-0043

Fax(615) 822-1690

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1993

Enumeration DateOctober 14, 2005

Last NPPES UpdateFebruary 1, 2022

✔ NPI 1225027014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TN · DO 2430

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License DO 2430 (TN)

353 NEW SHACKLE ISLAND RD, Hendersonville, TN 37075

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Other Identifiers 1

Medicaid1530417TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.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. Paul Edward Kudelko Ii Do 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 ID1759346398

PECOS Enrollment IDI20130128000535

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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,579 services1,103 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.

587 services360 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

492 services339 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

274 services269 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

259 services179 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

253 services174 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.

230 services153 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

158 services148 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

104 services104 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

99 services99 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

94 services94 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

74 services74 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.

71 services58 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

62 services45 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

61 services59 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

55 services25 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

40 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services28 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

21 services21 patients

Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist 36252

This procedure involves placing a tube into the primary and secondary arteries of both kidneys. This is done to capture images for better understanding of your kidney health. A radiologist will review these images. It's a safe, standard procedure.

19 services19 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

19 services19 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

18 services18 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

18 services17 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440065

Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County

Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number441305

Location204 Medical DriveLafayette, TN 37083 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

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…

100%474 patients5/55-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.

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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.

MRS. ELISHA FORD HILL FNP-BC

Nurse Practitioner (Family)

353 NEW SHACKLE ISLAND RD, 141 C
HENDERSONVILLE, TN 37075

Sumner County (615) 826-3100

JESSICA MITCHELL PA-C

Physician Assistant

353 NEW SHACKLE ISLAND RD
HENDERSONVILLE, TN 37075

Sumner County (615) 824-3737

DIGESTIVE DISEASE ASSOCIATES, P.C.

Internal Medicine (Gastroenterology)

353 NEW SHACKLE ISLAND RD, SUITE 222-B
HENDERSONVILLE, TN 37075

Sumner County (615) 824-4940

RIVERGATE SPORTS MEDICINE AND ORTHOPAEDIC SURGERY, P.C.

Specialist

353 NEW SHACKLE ISLAND RD, SUITE 110A
HENDERSONVILLE, TN 37075

Sumner County (615) 264-4785

LAKEVUE PLASTIC & RECONSTRUCTIVE SURGERY PLLC

Specialist

353 NEW SHACKLE ISLAND RD, SUITE 244 C
HENDERSONVILLE, TN 37075

Sumner County (615) 459-4531

BETTER YOU, PLLC

Family Medicine (Adult Medicine)

353 NEW SHACKLE ISLAND RD, SUITE 142-C
HENDERSONVILLE, TN 37075

Sumner County (615) 826-3142

JUNG H. LEE M.D.

Internal Medicine (Cardiovascular Disease)

353 NEW SHACKLE ISLAND RD, #300C
HENDERSONVILLE, TN 37075

Sumner County (615) 338-3337

DR. PETER B KROLL M.D.

Anesthesiology (Pain Medicine)

353 NEW SHACKLE ISLAND RD, SUITE 122B
HENDERSONVILLE, TN 37075

Sumner County (615) 824-3737

CATHY E AMMERMAN FNP

Nurse Practitioner (Family)

353 NEW SHACKLE ISLAND RD, SUITE 122B
HENDERSONVILLE, TN 37075

Sumner County (615) 822-2400

GEORGE J MURPHY MD

Obstetrics & Gynecology

353 NEW SHACKLE ISLAND RD, SUITE 221 B
HENDERSONVILLE, TN 37075

Sumner County (615) 822-3880

CARRIE D HOHE RD, CDE

Dietitian, Registered

353 NEW SHACKLE ISLAND RD, SUITE 301C
HENDERSONVILLE, TN 37075

Sumner County (615) 338-0313

CUMBERLAND OG-GYN PLLC

Obstetrics & Gynecology

353 NEW SHACKLE ISLAND RD, SUITE 101A
HENDERSONVILLE, TN 37075

Sumner County (615) 264-3200

CLAYTON THOMAS ANDERSON FNP-C

Nurse Practitioner (Family)

353 NEW SHACKLE ISLAND RD, SUITE #300C
HENDERSONVILLE, TN 37075

Sumner County (615) 824-0043

CHAD R SWAN MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

353 NEW SHACKLE ISLAND RD, SUITE B224
HENDERSONVILLE, TN 37075

Sumner County (615) 206-1700

DR. IFEANYI OBI OBIANYO M.D.

Internal Medicine

353 NEW SHACKLE ISLAND RD, SUITE 206 A
HENDERSONVILLE, TN 37075

Sumner County (615) 264-4743

DEBORAH ANN JONES N.P.

Nurse Practitioner (Women's Health)

353 NEW SHACKLE ISLAND RD, SUITE 101A
HENDERSONVILLE, TN 37075

Sumner County (615) 264-3200

LAURA S BONFIGLIO DPT

Physical Therapist (Orthopedic)

353 NEW SHACKLE ISLAND RD, STE 148C
HENDERSONVILLE, TN 37075

Sumner County (615) 265-5000

ZELLEM NEUROSURGICAL ASSO

Neurological Surgery

353 NEW SHACKLE ISLAND RD, SUITE 100A
HENDERSONVILLE, TN 37075

Sumner County (615) 264-1750

MIDDLE TENNESSEE ORTHOPAEDICS, PC

Durable Medical Equipment & Medical Supplies

353 NEW SHACKLE ISLAND RD, STE 226B
HENDERSONVILLE, TN 37075

Sumner County (615) 264-2600

HENDERSONVILLE OBGYN LLC

Obstetrics & Gynecology

353 NEW SHACKLE ISLAND RD, SUITE 341-C
HENDERSONVILLE, TN 37075

Sumner County (615) 826-1716

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 Paul Kudelko's NPI number?

The NPI number for Paul Kudelko is 1225027014. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Paul Kudelko located?

Paul Kudelko practices at 353 New Shackle Island Rd Suite 300C, Hendersonville, TN 37075. The listed phone number is (615) 824-0043.

What is Paul Kudelko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Kudelko enrolled in Medicare?

Yes. Paul Kudelko 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 Paul Kudelko accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Paul Kudelko 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 Paul Kudelko affiliated with any hospitals?

According to CMS data, Paul Kudelko is affiliated with Tristar Skyline Medical Center, Tristar Northcrest Medical Center, Tristar Centennial Medical Center, Tristar Hendersonville Medical Center and Macon Community Hospital.

When was this NPI record last updated?

The NPPES record for Paul Kudelko was last updated on February 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.