HUNTER UPTON M.D.
NPI 1265894380
Radiology - Diagnostic Radiology in Knoxville, TN
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
Specialties & Licenses 2
Secondary Practice Locations 2
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.
Medicare Billing Reassignments
3Medicare 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.
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- 63 clinicians in this Medicare group
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- 1,003 clinicians in this Medicare group
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.
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, TNLeconte Medical Center
Acute Care Hospitals · Sevierville, TNFort Loudoun Medical Center
Acute Care Hospitals · Lenoir City, TNFort Sanders Regional Medical Center
Acute Care Hospitals · Knoxville, TNParkwest Medical Center
Acute Care Hospitals · Knoxville, TNPhysician 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.
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.
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.
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
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.