HUNTER UPTON M.D.
NPI 1265894380
Radiology - Diagnostic Radiology in Knoxville, TN

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
99.08/100
CMS Quality Rating
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916(865) 595-4100 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2025, Aug 22, 2024, Oct 21, 2022 and 4 more (7 updates tracked since 2016).

About Hunter Upton M.d. NPPES

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

HUNTER UPTON M.D. (NPI 1265894380) is an individual diagnostic radiology provider in Knoxville, Tennessee, licensed in Tennessee (56904) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265894380
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameHUNTER UPTONCredential: M.D.
Location Address2001 LAUREL AVE # N304Knoxville, TN 37916-1810
Mailing Address2001 Laurel Ave Ste N304Knoxville, TN 37916-1810
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateFebruary 21, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1265894380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TN · 56904
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2001 LAUREL AVE # N304, Knoxville, TN 37916

Secondary Practice Locations 2

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 815-1292
Location 23601 The Vanderbilt ClinicNashville, TN 37232-4500 · Phone (615) 322-3000

Accepted 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

Hunter Upton 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 ID2365730090
PECOS Enrollment IDI20210505001064
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 Hunter Upton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2001 LAUREL AVE STE N304
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 63 clinicians in this Medicare group
Internal Medicine
2001 LAUREL AVE, SUITE 105
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
Physiological Laboratory
7625 CHAPMAN HWY STE 105
Knoxville, TN 37920
  • Reassigned Medicare billing, Tennessee enrollment
  • Also billed through NPI 1255950895 (Tennessee)
  • 17 clinicians in this Medicare group

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 74

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,771 services84 patients
Injection, gadoteridol, (prohance multipack), per ml A9576
Gadoteridol, found in ProHance Multipack, is a contrast agent used in MRI scans. It's injected into your body to help highlight certain areas, making them easier to see. This can assist in diagnosing various health conditions. It's generally safe with few side effects.
465 services35 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
361 services327 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
354 services344 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
121 services121 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
114 services113 patients

Hospital Affiliations CMS Care Compare 5

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier 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

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 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.

99.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.92
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.

Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Nurse Practitioner (Family)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916
Radiology (Diagnostic Radiology)
2001 LAUREL AVE # N304
KNOXVILLE, TN 37916

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 Hunter Upton's NPI number?

The NPI number for Hunter Upton is 1265894380. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Hunter Upton located?

Hunter Upton practices at 2001 Laurel Ave # N304, Knoxville, TN 37916. The listed phone number is (865) 595-4100.

What is Hunter Upton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Hunter Upton enrolled in Medicare?

Yes. Hunter Upton 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 Hunter Upton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hunter Upton reassigns Medicare benefits to 3 organizations: Vista Radiology, PC. (Knoxville, TN), Summit Medical Group, PLLC (Knoxville, TN) and Covenant Health Diagnostic Centers, LLC (Knoxville, 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 Hunter Upton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hunter Upton accept?

Health plans from Alliant Health Plans, Inc. list Hunter Upton 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 Hunter Upton affiliated with any hospitals?

According to CMS data, Hunter Upton is affiliated with Starr Regional Medical Center Athens, Leconte Medical Center, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Hunter Upton was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.