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EVAN EUGENE FOULKE MD
NPI 1376064634
Surgery in Jefferson City, TN

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
120 HOSPITAL DR STE 260, JEFFERSON CITY, TN 37760(865) 471-2250 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, Mar 23, 2019, Jun 27, 2017 (3 updates tracked since 2017).

About Evan Eugene Foulke Md NPPES

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

EVAN EUGENE FOULKE MD (NPI 1376064634) is an individual surgery provider in Jefferson City, Tennessee, licensed in Tennessee (70142) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-jefferson Memorial Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2019).

NPPES Registry Identity

NPI1376064634
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEVAN EUGENE FOULKECredential: MD
Location Address120 HOSPITAL DR STE 260Jefferson City, TN 37760-5283
Mailing Address120 Hospital Dr Ste 260Jefferson City, TN 37760-5283 · (865) 471-2250
Phone(865) 471-2250
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2019
Enumeration DateJune 27, 2017
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1376064634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 70142
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
120 HOSPITAL DR STE 260, Jefferson City, TN 37760
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Evan Eugene Foulke Md 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 ID8729317326
PECOS Enrollment IDI20240725000079
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 4

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.

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.
25 services25 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.
14 services13 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.
13 services13 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Tennova Healthcare - Newport Medical Center

Acute Care Hospitals · Newport, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440153
Location435 2nd StNewport, TN 37821 · Cocke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37760 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.

Other Providers at the Same Location NPPES 4

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

HERBERT W. RIDYARD JR. MD
Surgery
120 HOSPITAL DR STE 260
JEFFERSON CITY, TN 37760
Jefferson County (865) 471-2250
GENESIS HEART AND VASCULAR ASSOCIATES, PLLC
Internal Medicine (Cardiovascular Disease)
120 HOSPITAL DR STE 260
JEFFERSON CITY, TN 37760
Jefferson County (423) 839-2525
HANNA-RAE NIKOHL GREEN NP
Nurse Practitioner (Family)
120 HOSPITAL DR STE 260
JEFFERSON CITY, TN 37760
Jefferson County (423) 839-2525
DR. PRAGNESH A PATEL M.D.
Internal Medicine (Interventional Cardiology)
120 HOSPITAL DR STE 260
JEFFERSON CITY, TN 37760
Jefferson County (423) 839-2525

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 Evan Foulke's NPI number?

The NPI number for Evan Foulke is 1376064634. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Evan Foulke located?

Evan Foulke practices at 120 Hospital Dr Ste 260, Jefferson City, TN 37760. The listed phone number is (865) 471-2250.

What is Evan Foulke's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Evan Foulke enrolled in Medicare?

Yes. Evan Foulke 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 Evan Foulke 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 3 other insurers list Evan Foulke 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 Evan Foulke affiliated with any hospitals?

According to CMS data, Evan Foulke is affiliated with Tennova Healthcare-Jefferson Memorial Hospital, Physicians Regional Medical Center and Tennova Healthcare - Newport Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Foulke was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.