1. Home
  2. Directory
  3. Tennessee
  4. Nashville
  5. Internal Medicine
  6. NPI Profile

DR. ANDREA LYNN UTZ MD, PHD
NPI 1659362002
Internal Medicine - Endocrinology, Diabetes & Metabolism in Nashville, TN

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1215 21ST AVE S, #8210 MCE, SOUTH TOWER, NASHVILLE, TN 37232(615) 343-8332(615) 343-8346 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrea Lynn Utz Md, Phd NPPES

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

DR. ANDREA LYNN UTZ MD, PHD (NPI 1659362002) is an individual endocrinology, diabetes & metabolism provider in Nashville, Tennessee, licensed in Tennessee (44340) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Vanderbilt University School Of Medicine (2000).

NPPES Registry Identity

NPI1659362002
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ANDREA LYNN UTZCredential: MD, PHD
Location Address1215 21ST AVE S, #8210 MCE, SOUTH TOWERNashville, TN 37232-0014
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 343-8332 · Fax (615) 343-8346
Phone(615) 343-8332
Fax(615) 343-8346
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2000
Enumeration DateNovember 3, 2005
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1659362002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TN · 44340
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1215 21ST AVE S, Nashville, TN 37232
Open in Google Maps ↗

Other Identifiers 3

Other470163MA · Tufts Health Plan
Medicaid2100193MA
OtherJ28534MA · Bcbs Ma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.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. Andrea Lynn Utz Md, Phd 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 ID9537105804
PECOS Enrollment IDI20090424000135
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 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.

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.
143 services128 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.
58 services58 patients
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.
46 services42 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.
26 services25 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers13 claims42 services$6.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$184.60 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.

AMANDA B DICKERT I CRNA
Nurse Anesthetist, Certified Registered
1215 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 343-6336
ALICIA STALLINGS M.D.
Hospitalist
1215 21ST AVE S, SUITE II, 7TH FLOOR
NASHVILLE, TN 37232
Davidson County (615) 936-8590
MARY ALICE PATTON
Speech-Language Pathologist
1215 21ST AVE S, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-1597
MRS. JENNIFER H PILKINGTON MS, CCC-SLP
Speech-Language Pathologist
1215 21ST AVE S, SUITE 6209
NASHVILLE, TN 37232
Davidson County (615) 936-5212
ALEXANDER E. KOLOMAYA MD
Student in an Organized Health Care Education/Training Program
1215 21ST AVE S
NASHVILLE, TN 37232
Davidson County (615) 322-5000
DR. RYAN ALLEN KELLN D.O.
Pediatrics
1215 21ST AVE S, MEDICAL CENTER EAST, SUITE 3200
NASHVILLE, TN 37232
Davidson County (615) 936-7846
STEPHANIE MARTIN RD, LDN
Dietitian, Registered
1215 21ST AVE S, 6100 MEDICAL CENTER EAST, NORTH TOWER
NASHVILLE, TN 37232
Davidson County (615) 936-1075
ALLISON LEIGH SCHWALL MD
Hospitalist
1215 21ST AVE S, MCE NORTH TOWER SUITE 6000
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Andrea Utz's NPI number?

The NPI number for Andrea Utz is 1659362002. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Andrea Utz located?

Andrea Utz practices at 1215 21st Ave S #8210 Mce, South Tower, Nashville, TN 37232. The listed phone number is (615) 343-8332.

What is Andrea Utz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Andrea Utz enrolled in Medicare?

Yes. Andrea Utz 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 Andrea Utz accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Andrea Utz 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 Andrea Utz affiliated with any hospitals?

According to CMS data, Andrea Utz is affiliated with Owensboro Health Regional Hospital, Vanderbilt University Medical Center and Vanderbilt Wilson County Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Utz was last updated on March 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.