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VERONICA MANAOIS GUBATAN MD
NPI 1558369736
Psychiatry & Neurology - Psychiatry in Maryville, TN

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
405 ELLIS AVE, MARYVILLE, TN 37804(865) 980-5377(865) 980-5376 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2023, Jan 31, 2017, May 9, 2016 (3 updates tracked since 2016).

About Veronica Manaois Gubatan Md NPPES

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

VERONICA MANAOIS GUBATAN MD (NPI 1558369736) is an individual psychiatry provider in Maryville, Tennessee, licensed in Tennessee (MD35514) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1558369736
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameVERONICA MANAOIS GUBATANCredential: MD
Location Address405 ELLIS AVEMaryville, TN 37804-5823
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(865) 980-5377
Fax(865) 980-5376
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 12, 2005
Last NPPES UpdateOctober 27, 20253 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1558369736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · MD35514
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
405 ELLIS AVE, Maryville, TN 37804
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ009715TN

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

Veronica Manaois Gubatan 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 ID7416840053
PECOS Enrollment IDI20090128000519
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

2

Medicare enrollment records show Veronica Gubatan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blount Memorial Physician Group, Inc
0.9 mi
Family Medicine
266 JOULE ST
Alcoa, TN 37701
  • Reassigned Medicare billing, Tennessee enrollment
  • 295 clinicians in this Medicare group
NPI 1699710194 (865) 984-3864
Parkwest Medical Center
8.4 mi
Psychiatric Hospital
2347 JONES BEND RD
Louisville, TN 37777
  • Reassigned Medicare billing, Tennessee enrollment
  • 102 clinicians in this Medicare group
NPI 1558343566 (865) 970-9800

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 3

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 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.
342 services111 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
68 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services15 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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.

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

Other Providers at the Same Location NPPES 5

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

KRISTIN HILL R.N.
Nurse Practitioner (Psychiatric/Mental Health)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
KEVIN O'REILLY
Nurse Practitioner (Psychiatric/Mental Health)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
DR. KELLY NOEL OWNBY M.D.
Psychiatry & Neurology (Psychiatry)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
MS. BROOKE BORLA CHALMERS P.A.
Physician Assistant (Medical)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377
DR. SALLY SUZANNE BENTON MD
Psychiatry & Neurology (Psychiatry)
405 ELLIS AVE
MARYVILLE, TN 37804
Blount County (865) 980-5377

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 Veronica Gubatan's NPI number?

The NPI number for Veronica Gubatan is 1558369736. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Veronica Gubatan located?

Veronica Gubatan practices at 405 Ellis Ave, Maryville, TN 37804. The listed phone number is (865) 980-5377.

What is Veronica Gubatan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Veronica Gubatan enrolled in Medicare?

Yes. Veronica Gubatan 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 Veronica Gubatan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veronica Gubatan reassigns Medicare benefits to 2 organizations: Blount Memorial Physician Group, Inc (Alcoa, TN) and Parkwest Medical Center (Louisville, TN). 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 Veronica Gubatan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Veronica Gubatan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Veronica Gubatan 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 Veronica Gubatan affiliated with any hospitals?

According to CMS data, Veronica Gubatan is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Veronica Gubatan was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.