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AMY ELIZABETH WALTHOUR M.D.
NPI 1255622197
Hospitalist in Chattanooga, TN

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
975 E 3RD ST, ATTN: UNIVERSITY HOSPITALISTS, CHATTANOOGA, TN 37403(423) 266-1490(423) 778-2108 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Elizabeth Walthour M.d. NPPES

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

AMY ELIZABETH WALTHOUR M.D. (NPI 1255622197) is an individual hospitalist provider in Chattanooga, Tennessee, licensed in Tennessee (51594) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2011).

NPPES Registry Identity

NPI1255622197
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameAMY ELIZABETH WALTHOURCredential: M.D.
Location Address975 E 3RD ST, ATTN: UNIVERSITY HOSPITALISTSChattanooga, TN 37403-2147
Mailing Address975 E 3rd St, Attn: Provider EnrollmentChattanooga, TN 37403-2147 · (423) 778-5630 · Fax (423) 778-3146
Phone(423) 266-1490
Fax(423) 778-2108
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2011
Enumeration DateApril 26, 2011
Last NPPES UpdateAugust 18, 2014
✔ NPI 1255622197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 51594
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
975 E 3RD ST, Chattanooga, TN 37403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Amy Elizabeth Walthour M.d. 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 ID4789820218
PECOS Enrollment IDI20141006001175
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 5

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 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.
282 services95 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.
130 services60 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.
80 services77 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.
39 services39 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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.

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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

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.

MEGAN A SPEARS CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
TENNESSEE CANCER SPECIALISTS, PLLC
Internal Medicine (Hematology & Oncology)
975 E 3RD ST, ERLINGER MEDICAL CENTER
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7977
DAVID SHVED D.O.
Hospitalist
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5179
JASON DEDEKER MD
Psychiatry & Neurology (Psychiatry)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7000
WILLIAM MICHAEL BRITT JR.
Internal Medicine
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-3894
MR. EDWARD BRIAN HALLOCK CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
MRS. DEBORAH K WESTBROOK L.C.S.W.
Social Worker (Clinical)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7654
BRETT ESCARZA M.D.
Anesthesiology
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400

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 Amy Walthour's NPI number?

The NPI number for Amy Walthour is 1255622197. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Amy Walthour located?

Amy Walthour practices at 975 E 3rd St Attn: University Hospitalists, Chattanooga, TN 37403. The listed phone number is (423) 266-1490.

What is Amy Walthour's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Amy Walthour enrolled in Medicare?

Yes. Amy Walthour 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 Amy Walthour accept?

Health plans from Alliant Health Plans, Inc. list Amy Walthour 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 Amy Walthour affiliated with any hospitals?

According to CMS data, Amy Walthour is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Walthour was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.