DR. MICHAEL P RAMOS M.D.
NPI 1538182779
Internal Medicine - Pulmonary Disease in Maryville, TN

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
463 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 980-5100(865) 980-5105 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2023, Jan 11, 2022, Jul 30, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Michael P Ramos M.d. NPPES

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

DR. MICHAEL P RAMOS M.D. (NPI 1538182779) is an individual pulmonary disease provider in Maryville, Tennessee, licensed in Tennessee (MD35479) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1538182779
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL P RAMOSCredential: M.D.
Location Address463 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5807
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(865) 980-5105
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 29, 20255 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1538182779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · MD35479
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD35479 (TN)
463 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

Other Identifiers 1

MedicaidQ009997TN

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

Dr. Michael P Ramos 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 ID2466577044
PECOS Enrollment IDI20100920000795
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 13

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.
291 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services43 patients
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.
34 services18 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers207 claims207 services$32.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers112 claims112 services$76.12 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers123 claims304 services$30.63 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers85 claims449 services$18.27 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers41 claims202 services$12.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
13 suppliers126 claims126 services$48.38 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 12

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

Nurse Practitioner (Family)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Psychiatry & Neurology (Neurocritical Care)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Pulmonary Disease)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Nurse Practitioner (Family)
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
463 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

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 Michael Ramos's NPI number?

The NPI number for Michael Ramos is 1538182779. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Michael Ramos located?

Michael Ramos practices at 463 Bmh Physicians Office Bldg, Maryville, TN 37804. The listed phone number is (865) 980-5100.

What is Michael Ramos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Ramos enrolled in Medicare?

Yes. Michael Ramos 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 Michael Ramos accept?

Health plans from BlueCross BlueShield of Tennessee list Michael Ramos 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 Michael Ramos affiliated with any hospitals?

According to CMS data, Michael Ramos is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Ramos was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.