AARON G MARGULIES MD
NPI 1255358982
Surgery in Powell, TN

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
73.23/100
CMS Quality Rating
7714 CONNER RD, SUITE 107, POWELL, TN 37849(865) 692-1610(865) 692-1619 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Aaron G Margulies Md NPPES

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

AARON G MARGULIES MD (NPI 1255358982) is an individual surgery provider in Powell, Tennessee, licensed in Tennessee (MD0000029508) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains a secondary practice location in Lenoir City.

NPPES Registry Identity

NPI1255358982
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameAARON G MARGULIESCredential: MD
Location Address7714 CONNER RD, SUITE 107Powell, TN 37849-3559
Mailing Address11124 Kingston Pike, 119-114Knoxville, TN 37934-2863 · (865) 692-1610 · Fax (865) 692-1619
Fax(865) 692-1619
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1255358982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TN · MD0000029508
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7714 CONNER RD, Powell, TN 37849

Secondary Practice Location 1

Location 1689 Medical Park Dr Ste 101Lenoir City, TN 37772-5796 · Phone (865) 271-6580

Other Identifiers 1

MedicaidQ004341TN

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

Aaron G Margulies 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 ID7012990997
PECOS Enrollment IDI20070518000055
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 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.

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.
83 services74 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
41 services38 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.
33 services33 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
32 services31 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
23 services23 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37849 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.

73.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.6
Improvement Activities40
Cost45.99

Reported Quality Measures

Breast Cancer Screening
83%379 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
54%210 patients3/55-star benchmark: 87%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%796 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,185 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 503 patients
0%503 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 363 patients
Patients totalRate: 0% · 364 patients
0%364 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers23 claims60 services$31.28 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.

Student in an Organized Health Care Education/Training Program
7714 CONNER RD, SUITE 105
POWELL, TN 37849
Dentist (General Practice)
7714 CONNER RD, SUITE 104
POWELL, TN 37849
Case Manager/Care Coordinator
7714 CONNER RD
POWELL, TN 37849
Case Manager/Care Coordinator
7714 CONNER RD, SUITE 105
POWELL, TN 37849
Social Worker
7714 CONNER RD
POWELL, TN 37849
Allergy & Immunology
7714 CONNER RD, SUITE 108
POWELL, TN 37849
Nurse Practitioner (Pediatrics)
7714 CONNER RD, SUITE 101
POWELL, TN 37849
Student in an Organized Health Care Education/Training Program
7714 CONNER RD, SUITE 105
POWELL, TN 37849

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 Aaron Margulies's NPI number?

The NPI number for Aaron Margulies is 1255358982. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Aaron Margulies located?

Aaron Margulies practices at 7714 Conner Rd Suite 107, Powell, TN 37849. The listed phone number is (865) 692-1610.

What is Aaron Margulies's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Aaron Margulies enrolled in Medicare?

Yes. Aaron Margulies 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 Aaron Margulies accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Aaron Margulies 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 Aaron Margulies affiliated with any hospitals?

According to CMS data, Aaron Margulies is affiliated with Cumberland Medical Center, Morristown Hamblen Hospital Association and Fort Loudoun Medical Center.

When was this NPI record last updated?

The NPPES record for Aaron Margulies was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.