DR. PHILIP HENRY HANNEMAN M.D.
NPI 1356788202
Internal Medicine - Pulmonary Disease in Maryville, TN

Active since June 02, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
463 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 980-5100(865) 980-5105 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Philip Henry Hanneman M.d. NPPES

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

DR. PHILIP HENRY HANNEMAN M.D. (NPI 1356788202) is an individual pulmonary disease provider in Maryville, Tennessee, licensed in Tennessee (61011) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Indiana University School Of Medicine (2013).

NPPES Registry Identity

NPI1356788202
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PHILIP HENRY HANNEMANCredential: M.D.
Location Address463 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5807
Mailing Address103 W Broadway AveMaryville, TN 37801-4703 · (865) 273-1752 · Fax (865) 273-1755
Fax(865) 980-5105
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateJune 2, 2013
Last NPPES UpdateJune 26, 2020
NPPES CertifiedJune 26, 2020
NPI 1356788202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 61011
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 61011 (TN)
463 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

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

Dr. Philip Henry Hanneman 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 ID5395987846
PECOS Enrollment IDI20200622003046
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 23

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
107 services53 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.
80 services58 patients
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.
77 services57 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
66 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$16.31 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers36 claims36 services$7.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers47 claims48 services$74.49 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers55 claims59 services$33.79 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers13 claims3,598 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers14 claims14 services$25.93 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Psychiatry & Neurology (Neurocritical Care)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Nurse Practitioner (Family)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

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 Philip Hanneman's NPI number?

The NPI number for Philip Hanneman is 1356788202. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Where is Philip Hanneman located?

Philip Hanneman practices at 463 Bmh Physicians Office Bldg, Maryville, TN 37804. The listed phone number is (865) 980-5100.

What is Philip Hanneman's specialty?

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

Is Philip Hanneman enrolled in Medicare?

Yes. Philip Hanneman 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 Philip Hanneman accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Philip Hanneman 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 Philip Hanneman affiliated with any hospitals?

According to CMS data, Philip Hanneman is affiliated with University Health System, Inc and Leconte Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Hanneman was last updated on June 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.