ROBERT KOUTSOUVELIS MD
NPI 1386217966
Family Medicine in Johnson City, TN

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment
917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Robert Koutsouvelis Md NPPES

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

ROBERT KOUTSOUVELIS MD (NPI 1386217966) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (72059) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386217966
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT KOUTSOUVELISCredential: MD
Location Address917 W WALNUT STJohnson City, TN 37604-6527
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 21, 2021
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1386217966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 72059
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
917 W WALNUT ST, Johnson City, TN 37604

Secondary Practice Locations 2

Location 1208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050
Location 2102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600

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

Robert Koutsouvelis 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 ID8628471505
PECOS Enrollment IDI20241206000096
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.

Hospital Affiliations CMS Care Compare 2

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$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.

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.

Social Worker (Clinical)
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604

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 Robert Koutsouvelis's NPI number?

The NPI number for Robert Koutsouvelis is 1386217966. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Robert Koutsouvelis located?

Robert Koutsouvelis practices at 917 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 439-6464.

What is Robert Koutsouvelis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Koutsouvelis enrolled in Medicare?

Yes. Robert Koutsouvelis 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 Robert Koutsouvelis accept?

Health plans from BlueCross BlueShield of Tennessee list Robert Koutsouvelis 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 Robert Koutsouvelis affiliated with any hospitals?

According to CMS data, Robert Koutsouvelis is affiliated with Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Robert Koutsouvelis was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.