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JOSEPH F. PAZONA MD
NPI 1447422951
Urology in Nashville, TN

Active since March 25, 2008PECOS Enrolled
95.01/100
CMS Quality Rating
2201 MURPHY AVE STE 403, NASHVILLE, TN 37203(615) 527-4700(615) 527-4705 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 25, 2022, Jun 29, 2020, Jun 9, 2020 and 2 more (5 updates tracked since 2016).

About Joseph F. Pazona Md NPPES

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

JOSEPH F. PAZONA MD (NPI 1447422951) is an individual urology provider in Nashville, Tennessee, licensed in Tennessee (58779) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1447422951
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSEPH F. PAZONACredential: MD
Location Address2201 MURPHY AVE STE 403Nashville, TN 37203-1885
Mailing Address2201 Murphy Ave Ste 403Nashville, TN 37203-1885 · (615) 527-4700 · Fax (615) 527-4705
Phone(615) 527-4700
Fax(615) 527-4705
Sole ProprietorNo
Enumeration DateMarch 25, 2008
Last NPPES UpdateOctober 25, 20225 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1447422951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in TN · 58779
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2201 MURPHY AVE STE 403, Nashville, TN 37203
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13602 Cumberland Ave Ste B102Middlesboro, KY 40965-2614 · Phone (606) 242-1577 · Fax (606) 242-1578
Location 2302 S Walnut StPineville, KY 40977-1707 · Phone (606) 302-2034 · Fax (606) 337-0970
Location 380 Hospital Dr Ste 2Barbourville, KY 40906-7363 · Phone (606) 545-4460 · Fax (606) 545-4469
Location 437 Ball Park RdHarlan, KY 40831-1701 · Phone (606) 573-4520 · Fax (606) 574-8330

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph F. Pazona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Joseph Pazona reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arh Mary Breckinridge Health Services, Inc.
159 mi
Multi-Specialty
1317 CUMBERLAND FALLS HWY
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1053983908 (606) 620-4153
Appalachian Regional Healthcare, Inc.
174 mi
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1801403092 (Kentucky)
  • 419 clinicians in this Medicare group
NPI 1134204688 (606) 242-1100
Crawford Hospital District
204 mi
Critical Access
1000 N ALLEN ST
Robinson, IL 62454
  • Reassigned Medicare billing, Illinois enrollment
  • 116 clinicians in this Medicare group
NPI 1265493720 (618) 544-3131
Health Care Authority For Baptist Health, An Affiliate Of Uabhs
263 mi
Internal Medicine
301 BROWN SPRINGS RD
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1033534524 (334) 273-4159
Wythe County Physician Practices LLC
322 mi
Rural Health
360 VIRGINIA AVE BLDG B
Wytheville, VA 24382
  • Reassigned Medicare billing, Virginia enrollment
  • 57 clinicians in this Medicare group
NPI 1639818081 (276) 223-1430

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 12

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.
508 services275 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.
218 services143 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.
157 services157 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
83 services74 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
70 services62 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
62 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
56%197 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
23%247 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
90%232 patients4/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%144 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
54%681 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%548 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%292 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%548 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 500 patients
2%500 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CAROLINE CHESTER M.D.
Surgery (Plastic and Reconstructive Surgery)
2201 MURPHY AVE STE 403
NASHVILLE, TN 37203
Davidson County (615) 320-3773
PAZONA MD, PLLC
Urology
2201 MURPHY AVE STE 403
NASHVILLE, TN 37203
Davidson County (615) 527-4700
EMMA DELUCA
Nurse Practitioner
2201 MURPHY AVE STE 403
NASHVILLE, TN 37203
Davidson County (615) 527-4700
WHITNEY WORKMAN
Nurse Practitioner (Family)
2201 MURPHY AVE STE 403
NASHVILLE, TN 37203
Davidson County (615) 527-4700

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 Joseph Pazona's NPI number?

The NPI number for Joseph Pazona is 1447422951. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Joseph Pazona located?

Joseph Pazona practices at 2201 Murphy Ave Ste 403, Nashville, TN 37203. The listed phone number is (615) 527-4700.

What is Joseph Pazona's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joseph Pazona enrolled in Medicare?

Yes. Joseph Pazona is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joseph Pazona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Pazona reassigns Medicare benefits to 5 organizations: Arh Mary Breckinridge Health Services, Inc. (Corbin, KY), Appalachian Regional Healthcare, Inc. (Middlesboro, KY), Crawford Hospital District (Robinson, IL), Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL) and Wythe County Physician Practices LLC (Wytheville, VA). Each 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 Joseph Pazona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Pazona accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Joseph Pazona 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.

When was this NPI record last updated?

The NPPES record for Joseph Pazona was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.