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RANDY W HOOVER MD
NPI 1255336434
Internal Medicine in Johnson City, TN

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
301 MED TECH PKWY, STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-6940 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Nov 12, 2017, Feb 7, 2017 (3 updates tracked since 2017).

About Randy W Hoover Md NPPES

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

RANDY W HOOVER MD (NPI 1255336434) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Tennessee (37366) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255336434
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRANDY W HOOVERCredential: MD
Location Address301 MED TECH PKWY, STE 240Johnson City, TN 37604-2364
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 794-5520 · Fax (423) 282-6940
Phone(423) 794-5520
Fax(423) 282-6940
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1255336434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 37366
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 MED TECH PKWY, Johnson City, TN 37604
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Other Identifiers 2

Medicaid3885549TN
Medicaid1255336434VA

Accepted Insurance

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

Randy W Hoover 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 ID7012041619
PECOS Enrollment IDI20100818000714
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

3

Medicare enrollment records show Randy Hoover reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
0.1 mi
Internal Medicine
200 MED TECH PKWY, SUITE 108
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1942520267 (423) 915-5033
Medical Education Assistance Corporation
0.2 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039
State Of Franklin Healthcare Associates PLLC
3.3 mi
Internal Medicine
121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 357 clinicians in this Medicare group
NPI 1063459410 (423) 794-5500

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.

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.
304 services147 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.
163 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services95 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
63 services63 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.
41 services39 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

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

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
$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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$23.45 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$7.97 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers27 claims27 services$47.43 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers24 claims24 services$15.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers24 claims24 services$89.26 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$23.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHELLY J MCINTOSH FNP
Nurse Practitioner (Family)
301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
ARIEL DENTON APN
Nurse Practitioner (Women's Health)
301 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Washington County (423) 794-1300
MICHAEL Z PEARSON MD
Internal Medicine
301 MED TECH PKWY, STE. 280
JOHNSON CITY, TN 37604
Washington County (423) 794-5550
TRACY ROMANS NP
Nurse Practitioner (Family)
301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5888
MARK A WILLIAMS MD
Internal Medicine
301 MED TECH PKWY, STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
BRIAN H DUNKELBERGER M.D.
Obstetrics & Gynecology
301 MED TECH PKWY, STE. 200
JOHNSON CITY, TN 37604
Washington County (423) 794-1300
AMBER C PLOUCHA NP-C
Nurse Practitioner
301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
ERIN MCPHERSON
Registered Nurse (Lactation Consultant)
301 MED TECH PKWY, SUITE 160
JOHNSON CITY, TN 37604
Washington County (423) 794-5560

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 Randy Hoover's NPI number?

The NPI number for Randy Hoover is 1255336434. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Randy Hoover located?

Randy Hoover practices at 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604. The listed phone number is (423) 794-5520.

What is Randy Hoover's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Randy Hoover enrolled in Medicare?

Yes. Randy Hoover 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 Randy Hoover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Hoover reassigns Medicare benefits to 3 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN), Medical Education Assistance Corporation (Johnson City, TN) and State Of Franklin Healthcare Associates PLLC (Johnson City, 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 Randy Hoover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Hoover accept?

Health plans from Cigna Healthcare list Randy Hoover 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 Randy Hoover affiliated with any hospitals?

According to CMS data, Randy Hoover is affiliated with Wellmont Holston Valley Medical Center, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Randy Hoover was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.