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THO H NGUYEN DPM
NPI 1235247024
Podiatrist in Knoxville, TN

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
10409 HICKORY PATH WAY, KNOXVILLE, TN 37922(423) 802-3239(866) 714-6553 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tho H Nguyen Dpm NPPES

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

THO H NGUYEN DPM (NPI 1235247024) is an individual podiatrist in Knoxville, Tennessee, licensed in Tennessee (542) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1994).

NPPES Registry Identity

NPI1235247024
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTHO H NGUYENCredential: DPM
Location Address10409 HICKORY PATH WAYKnoxville, TN 37922-3296
Mailing Address10409 Hickory Path WayKnoxville, TN 37922-3296 · (423) 802-3239 · Fax (866) 714-6553
Phone(423) 802-3239
Fax(866) 714-6553
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1994
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 15, 2011
✔ NPI 1235247024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in TN · 542✔ Licensed in GA · 000777
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
10409 HICKORY PATH WAY, Knoxville, TN 37922
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Other Identifiers 5

Medicaid00703007AGA
Medicare ID-Type Unspecified48SCBRQGA · Ga Medicare
Medicare UPINU62168GA
Medicare ID-Type Unspecified3353103TN · Medicare Tn
Medicaid3353103TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Tho H Nguyen Dpm 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 ID5193820512
PECOS Enrollment IDI20070612000542
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 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
2,343 services1,233 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
375 services372 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
374 services309 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
227 services182 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
190 services187 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
35 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 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
$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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Tho Nguyen's NPI number?

The NPI number for Tho Nguyen is 1235247024. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Tho Nguyen located?

Tho Nguyen practices at 10409 Hickory Path Way, Knoxville, TN 37922. The listed phone number is (423) 802-3239.

What is Tho Nguyen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Tho Nguyen enrolled in Medicare?

Yes. Tho Nguyen 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 Tho Nguyen accept?

Health plans from UnitedHealthcare list Tho Nguyen 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 Tho Nguyen was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.