OTAKAR KRCAL MD
NPI 1396868022
Psychiatry & Neurology - Neurology in Kingsport, TN
About Otakar Krcal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTAKAR KRCAL MD (NPI 1396868022) is an individual neurology provider in Kingsport, Tennessee, licensed in Tennessee (MD0000042007) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Duke University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Otakar Krcal 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.
Medicare Billing Reassignment
Medicare enrollment records show Otakar Krcal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNGreeneville Community Hospital
Acute Care Hospitals · Greeneville, TNJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNIndian Path Community Hospital
Acute Care Hospitals · Kingsport, TNLonesome Pine Hospital
Acute Care Hospitals · Big Stone Gap, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Otakar Krcal's NPI number?
The NPI number for Otakar Krcal is 1396868022. It was assigned to this individual provider in the NPPES registry on April 9, 2007.
Where is Otakar Krcal located?
Otakar Krcal practices at 8 Sheridan Sq Ste 200, Kingsport, TN 37660. The listed phone number is (423) 857-1360.
What is Otakar Krcal's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Otakar Krcal enrolled in Medicare?
Yes. Otakar Krcal 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.
Which organization bills Medicare for Otakar Krcal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Otakar Krcal reassigns Medicare benefits to Associated Neurologists Of Kingsport (Kingsport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Otakar Krcal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Otakar Krcal accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Otakar Krcal 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 Otakar Krcal affiliated with any hospitals?
According to CMS data, Otakar Krcal is affiliated with Wellmont Holston Valley Medical Center, Greeneville Community Hospital, Johnson City Medical Center, Indian Path Community Hospital and Lonesome Pine Hospital.
When was this NPI record last updated?
The NPPES record for Otakar Krcal was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.