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DR. COREY FUSSELL M.D.
NPI 1497103824
Family Medicine in Oak Ridge, TN

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830(865) 835-5850(865) 374-1115 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Aug 7, 2024, Jul 17, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Corey Fussell M.d. NPPES

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

DR. COREY FUSSELL M.D. (NPI 1497103824) is an individual family medicine provider in Oak Ridge, Tennessee, licensed in Georgia (82311) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2016).

NPPES Registry Identity

NPI1497103824
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. COREY FUSSELLCredential: M.D.
Location Address200 NEW YORK AVE STE 150Oak Ridge, TN 37830-5227
Mailing Address200 New York Ave Ste 150Oak Ridge, TN 37830-5227 · (865) 835-5850
Phone(865) 835-5850
Fax(865) 374-1115
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1497103824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 82311✔ Licensed in TN · 76469
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.
200 NEW YORK AVE STE 150, Oak Ridge, TN 37830
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Other Identifiers 1

MedicaidQ042768TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Corey Fussell M.d. 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 ID5294063483
PECOS Enrollment IDI20190826003942, I20260304000576
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

3

Medicare enrollment records show Corey Fussell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Group, Inc.
8.2 mi
Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group
NPI 1457302010 (865) 374-5200
Privia Medical Group Of Georgia LLC
178 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Upson Family Physicians, Lc
216 mi
Family Medicine
612 WEST GORDON STREET, SUITE C
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1083842918 (706) 647-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Putnam General Hospital

Critical Access Hospitals · Eatonton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111313
Location101 Lake Oconee ParkwayEatonton, GA 31024 · Putnam County
Emergency services

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims39 services$5.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$117.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY KALANI PATTERSON M.D.
Family Medicine
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (865) 835-5850
AREZOU T REZAEIAN MD
Student in an Organized Health Care Education/Training Program
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (865) 835-5850
DR. USAMA SHAHBAZ MD
Family Medicine
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (415) 297-3536
DR. YEN NGOC QUACH MD
Student in an Organized Health Care Education/Training Program
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (865) 835-5855
WILLIAM DOUGLAS JOHNSON DO
Student in an Organized Health Care Education/Training Program
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (865) 835-5850
DR. DEVON AUBREY DAVIS DO
Student in an Organized Health Care Education/Training Program
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (910) 354-0614
RASHIDA MALIKA PAYNE M.D.
Student in an Organized Health Care Education/Training Program
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (865) 835-5855
WOMEN'S HEALTH PARTNERS OF EAST TENNESSEE PC
Obstetrics & Gynecology
200 NEW YORK AVE STE 150
OAK RIDGE, TN 37830
Anderson County (865) 481-0200

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 Corey Fussell's NPI number?

The NPI number for Corey Fussell is 1497103824. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Corey Fussell located?

Corey Fussell practices at 200 New York Ave Ste 150, Oak Ridge, TN 37830. The listed phone number is (865) 835-5850.

What is Corey Fussell's specialty?

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

Is Corey Fussell enrolled in Medicare?

Yes. Corey Fussell 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 organizations bill Medicare for Corey Fussell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corey Fussell reassigns Medicare benefits to 3 organizations: Covenant Medical Group, Inc. (Knoxville, TN), Privia Medical Group Of Georgia LLC (Fayetteville, GA) and Upson Family Physicians, Lc (Thomaston, GA). 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 Corey Fussell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Corey Fussell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Corey Fussell 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 Corey Fussell affiliated with any hospitals?

According to CMS data, Corey Fussell is affiliated with Wellstar Spalding Medical Center, Putnam General Hospital and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Corey Fussell was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.