DR. RODNEY BRANDON MEWBOURNE M.D. NPI 1376751602
Surgery in Gallatin, TN

About DR. RODNEY BRANDON MEWBOURNE M.D.

Rodney Mewbourne is a provider established in Gallatin, Tennessee and his medical specialization is Surgery with more than 21 years of experience. He graduated from University Of Alabama School Of Medicine in 2002. The NPI number of Rodney Mewbourne is 1376751602 and was assigned on May 2007. The practitioner's primary taxonomy code is 208600000X with license number 42658 (TN). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1376751602
Provider NameDR. RODNEY BRANDON MEWBOURNE M.D.
Location Address323 STEAM PLANT RD GALLATIN, TN 37066
Location Phone(615) 452-1060
Mailing Address323 STEAM PLANT RD GALLATIN, TN 37066
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year2002
Is Sole Proprietor?Yes
Enumeration Date05-18-2007
Last Update Date08-01-2007

A surgeon like Dr. Rodney Brandon Mewbourne M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Rodney Mewbourne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Rodney Mewbourne is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Sumner Regional Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.08 for a new patient copayment and $17.19 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.42658
License StateTN
Taxonomy DescriptionA 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.

Business Address

DR. RODNEY BRANDON MEWBOURNE M.D.
323 STEAM PLANT RD
GALLATIN, TN
ZIP 37066
Phone: (615) 452-1060

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Mailing Address

DR. RODNEY BRANDON MEWBOURNE M.D.
323 STEAM PLANT RD
GALLATIN, TN
ZIP 37066
Phone: (615) 452-1060


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID648363739
PECOS Enrollment IDI20070905000737
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 37066 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.58 $167.19 $84.32
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.64 $41.79 $21.08
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.86 $136.82 $68.78
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.21 $34.2 $17.19

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 54Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • 39Removal of tissue from wounds per session (HCPCS:97597)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rodney Mewbourne is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SUMNER REGIONAL MEDICAL CENTER555 HARTSVILLE PIKE
GALLATIN, TN 37066
(615) 452-4210Acute Care Hospitals440003

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376751602
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146145260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 4 + 5 + 2 + 6 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1376751602 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154315687DR. JOHN K. THOMPSON M.D.
Individual
Specialist323 STEAM PLANT RD
GALLATIN, TN 37066
(615) 452-1060
1912104068SUMNER SURGICAL ASSOCIATES PLLC
Organization
Surgery323 STEAM PLANT RD
GALLATIN, TN 37066
(615) 452-1060
1003283201 ANNE HARVEY HUDSON APN
Individual
Nurse Practitioner (Family)323 STEAM PLANT RD
GALLATIN, TN 37066
(615) 452-0035
1508393430 MIRANDA ANNETTE GREEN FNP-C
Individual
Nurse Practitioner (Family)323 STEAM PLANT RD
GALLATIN, TN 37066
(615) 452-0035

Frequently Asked Questions

What is Dr. Rodney Mewbourne M.D. NPI number?

The NPI number assigned to Dr. Rodney Mewbourne M.D. is 1376751602, registered as an "individual" on May 18, 2007

Where is Dr. Rodney Mewbourne M.D. located?

The provider is located at 323 Steam Plant Rd Gallatin, Tn 37066 and the phone number is (615) 452-1060

Which is Dr. Rodney Mewbourne M.D. specialty?

The provider's speciality is Surgery

How many years of experience does Dr. Rodney Mewbourne M.D. have?

The provider has more than 21 years of experience. He graduated from University Of Alabama School Of Medicine in 2002.

Is Dr. Rodney Mewbourne M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Rodney Mewbourne M.D.?

Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $68.78 and an average copayment of 17.19. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Rodney Mewbourne M.D.?

The most common procedures or services performed by this practitioner are: Removal of skin and tissue first 20 sq cm or less and Removal of tissue from wounds per session.

Is Dr. Rodney Mewbourne M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: SUMNER REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Rodney Mewbourne M.D. was last updated on May 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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