RONALD F TAYLOR M.D.
NPI 1275501561
Internal Medicine - Pulmonary Disease in Jackson, TN

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
367 HOSPITAL BLVD, JACKSON, TN 38305(731) 541-6834(731) 541-7967 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald F Taylor M.d. NPPES

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

RONALD F TAYLOR M.D. (NPI 1275501561) is an individual pulmonary disease provider in Jackson, Tennessee, licensed in Tennessee (MD14972) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1982).

NPPES Registry Identity

NPI1275501561
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRONALD F TAYLORCredential: M.D.
Location Address367 HOSPITAL BLVDJackson, TN 38305-2080
Mailing AddressPo Box 505342Saint Louis, MO 63150-5342 · (731) 660-8730 · Fax (731) 660-8739
Fax(731) 541-7967
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1982
Enumeration DateMarch 10, 2006
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1275501561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · MD14972
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
367 HOSPITAL BLVD, Jackson, TN 38305

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

Ronald F Taylor 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 ID1850433327
PECOS Enrollment IDI20100121000374
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 16

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.

Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
228 services199 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
147 services143 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services94 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Dyersburg Regional Medical Center

Acute Care Hospitals · Dyersburg, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440072
Location400 East Tickle StreetDyersburg, TN 38024 · Dyer County
Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

West Tennessee Healthcare Bolivar Hospital

Critical Access Hospitals · Bolivar, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441320
Location650 Nuckolls RoadBolivar, TN 38008 · Hardeman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.39
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers79 claims79 services$38.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers361 claims361 services$92.67 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers211 claims405 services$36.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers76 claims325 services$20.71 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers25 claims112 services$14.93 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers201 claims201 services$57.13 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.

Nurse Anesthetist, Certified Registered
367 HOSPITAL BLVD
JACKSON, TN 38305
Clinic/Center (Oncology)
367 HOSPITAL BLVD, 4TH FLOOR
JACKSON, TN 38305
General Acute Care Hospital
367 HOSPITAL BLVD
JACKSON, TN 38305
Nurse Practitioner
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305
Emergency Medicine
367 HOSPITAL BLVD
JACKSON, TN 38305

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 Ronald Taylor's NPI number?

The NPI number for Ronald Taylor is 1275501561. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Ronald Taylor located?

Ronald Taylor practices at 367 Hospital Blvd, Jackson, TN 38305. The listed phone number is (731) 541-6834.

What is Ronald Taylor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ronald Taylor enrolled in Medicare?

Yes. Ronald Taylor 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 Ronald Taylor 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 4 other insurers list Ronald Taylor 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 Ronald Taylor affiliated with any hospitals?

According to CMS data, Ronald Taylor is affiliated with Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital, Dyersburg Regional Medical Center, Henry County Medical Center and West Tennessee Healthcare Bolivar Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Taylor was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.