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PATCHOUCO THEODORE MD
NPI 1528628963
Family Medicine in Knoxville, TN

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
1924 ALCOA HWY # U-67, KNOXVILLE, TN 37920(865) 305-9350(865) 305-8942 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2025, Feb 22, 2023, Jul 18, 2019 and 1 more (4 updates tracked since 2019).

About Patchouco Theodore Md NPPES

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

PATCHOUCO THEODORE MD (NPI 1528628963) is an individual family medicine provider in Knoxville, Tennessee, licensed in Louisiana (350083) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528628963
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePATCHOUCO THEODORECredential: MD
Location Address1924 ALCOA HWY # U-67Knoxville, TN 37920-1511
Mailing Address10300 Sw 216th StCutler Bay, FL 33190-1003
Phone(865) 305-9350
Fax(865) 305-8942
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2019
Last NPPES UpdateDecember 10, 20254 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1528628963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 350083
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 66626 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1924 ALCOA HWY # U-67, Knoxville, TN 37920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit 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

Patchouco Theodore 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 ID6002297231
PECOS Enrollment IDI20230510001368
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

7

Medicare enrollment records show Patchouco Theodore reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
43 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Green Valley Emergency Physicians, LLC
273 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444
Richbend Emergency Physicians, PLLC
305 mi
Emergency Medicine
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1093438830 (304) 636-3300
Parish State Emergency Physicians LLC
613 mi
Emergency Medicine
2315 E MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 83 clinicians in this Medicare group
NPI 1023832870 (337) 364-0441
Upstate Ny Physician PLLC
710 mi
Emergency Medicine
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
NPI 1487484523 (518) 842-1900
Travis County Emergency Physicians PA
888 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Emergency Medicine Services Of Tx, PLLC
959 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
138 services130 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
110 services104 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
102 services99 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services67 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450662
Location100 A Alton GloorBrownsville, TX 78526 · Cameron County
Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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.

ZAID AHMAD MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9340
JACOB WILLIAMS
Family Medicine
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
DELANEE CHAJA
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
RYAN ALLEN SHILLINGBURG DO
Family Medicine
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
DR. SAVANNAH LYNN FUCHS MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
NAM ANH LE
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
JAMES DEAN WEBB MD
Family Medicine
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350
SAMUEL EVAN MORGAN
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-67
KNOXVILLE, TN 37920
Knox County (865) 305-9350

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 Patchouco Theodore's NPI number?

The NPI number for Patchouco Theodore is 1528628963. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Patchouco Theodore located?

Patchouco Theodore practices at 1924 Alcoa Hwy # U-67, Knoxville, TN 37920. The listed phone number is (865) 305-9350.

What is Patchouco Theodore's specialty?

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

Is Patchouco Theodore enrolled in Medicare?

Yes. Patchouco Theodore 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 Patchouco Theodore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patchouco Theodore reassigns Medicare benefits to 7 organizations: Emergency Coverage, LLC (Newport, TN), Green Valley Emergency Physicians, LLC (Paducah, KY), Richbend Emergency Physicians, PLLC (Elkins, WV), Parish State Emergency Physicians LLC (New Iberia, LA), Upstate Ny Physician PLLC (Amsterdam, NY) and 2 more organizations, listed in the Medicare section above. 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 Patchouco Theodore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patchouco Theodore accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Patchouco Theodore 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 Patchouco Theodore affiliated with any hospitals?

According to CMS data, Patchouco Theodore is affiliated with Vhs Harlingen Hospital Company LLC, Valley Regional Medical Center and Davis Medical Center.

When was this NPI record last updated?

The NPPES record for Patchouco Theodore was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.