OTAKAR KRCAL MD
NPI 1396868022
Psychiatry & Neurology - Neurology in Kingsport, TN

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
88.19/100
CMS Quality Rating
8 SHERIDAN SQ, STE 200, KINGSPORT, TN 37660(423) 857-1360(423) 723-0563 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1396868022
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameOTAKAR KRCALCredential: MD
Location Address8 SHERIDAN SQ, STE 200Kingsport, TN 37660-7479
Mailing Address8 Sheridan Sq Ste 200Kingsport, TN 37660-7479 · (423) 247-5553 · Fax (423) 247-9254
Fax(423) 723-0563
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2007
Enumeration DateApril 9, 2007
Last NPPES UpdateOctober 29, 2019
NPI 1396868022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TN · MD0000042007
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

8 SHERIDAN SQ, Kingsport, TN 37660

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

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.

PECOS PAC ID3971695958
PECOS Enrollment IDI20070822000800
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 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.

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.
303 services193 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 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.
23 services23 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
16 services13 patients

Hospital Affiliations CMS Care Compare 4

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, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Hawkins County Memorial Hospital

Acute Care Hospitals · Rogersville, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number440032
Location851 Locust StreetRogersville, TN 37857 · Hawkins County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician 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.

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.

88.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Improvement Activities40
Cost95.87

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.

Nurse Practitioner (Family)
8 SHERIDAN SQ, STE 200
KINGSPORT, TN 37660
Dermatology (MOHS-Micrographic Surgery)
8 SHERIDAN SQ, SUITE 110
KINGSPORT, TN 37660
Dermatology
8 SHERIDAN SQ, STE 110
KINGSPORT, TN 37660
Nurse Practitioner
8 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660

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.

What insurance does Otakar Krcal accept?

Health plans from BlueCross BlueShield of Tennessee 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, Hawkins County Memorial Hospital, Greeneville Community Hospital and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Otakar Krcal was last updated on October 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.