VIJAY PETHKAR MD
NPI 1669470555
Internal Medicine - Pulmonary Disease in Mt Juliet, TN

Q: What is Vijay Pethkar's NPI number?

The NPI number for Vijay Pethkar is 1669470555. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Vijay Pethkar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vijay Pethkar was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment

780 NORTH MT JULIET RD, MT JULIET, TN 37122(615) 758-9273(615) 758-4821 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vijay Pethkar Md NPPES

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

VIJAY PETHKAR MD (NPI 1669470555) is an individual pulmonary disease provider in Mt Juliet, Tennessee, licensed in Tennessee (031687) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1669470555

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameVIJAY PETHKARCredential: MD

Location Address780 NORTH MT JULIET RDMt Juliet, TN 37122-0780

Mailing Address780 North Mt Juliet RdMt Juliet, TN 37122-0780 · (615) 727-1963 · Fax (615) 758-4821

Phone(615) 758-9273

Fax(615) 758-4821

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateJuly 13, 2005

Last NPPES UpdateFebruary 5, 2023

NPPES CertifiedFebruary 5, 2023

✔ NPI 1669470555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 031687

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 ListedSpecialistTaxonomy 174400000X · License MD31687 (TN)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 031687 (TN)

780 NORTH MT JULIET RD, Mt Juliet, TN 37122

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Other Identifiers 1

Other4102896TN · Blue Cross Blue Shield Tn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.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

Vijay Pethkar 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 ID4981598547

PECOS Enrollment IDI20040212000878

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 Reassignment

Medicare enrollment records show Vijay Pethkar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Vijay Pethkar MD PLLC

Same address

Pulmonary Disease

780 N MOUNT JULIET RD
Mount Juliet, TN 37122

Reassigned Medicare billing, Tennessee enrollment

NPI 1356474415 (615) 758-9273

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 7

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.

132 services83 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.

122 services94 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.

45 services45 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

19 services19 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.

13 services13 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · 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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440227

Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

12 suppliers161 claims161 services$34.09 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers114 claims114 services$77.48 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers118 claims310 services$29.29 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers52 claims310 services$16.36 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers78 claims439 services$13.41 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

10 suppliers145 claims145 services$48.34 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers138 claims138 services$15.36 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers74 claims74 services$12.03 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers228 claims1,266 services$1.93 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

8 suppliers26 claims26 services$5.95 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers91 claims91 services$11.25 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier24 claims24 services$14.44 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$44.05 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers17 claims17 services$63.57 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers28 claims28 services$118.43 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers202 claims202 services$31.23 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

8 suppliers107 claims107 services$68.27 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers57 claims57 services$31.48 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers17 claims4,300 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers28 claims28 services$23.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vijay Pethkar's NPI number?

The NPI number for Vijay Pethkar is 1669470555. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Vijay Pethkar located?

Vijay Pethkar practices at 780 North Mt Juliet Rd, Mt Juliet, TN 37122. The listed phone number is (615) 758-9273.

What is Vijay Pethkar's specialty?

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

Is Vijay Pethkar enrolled in Medicare?

Yes. Vijay Pethkar 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 organization bills Medicare for Vijay Pethkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Pethkar reassigns Medicare benefits to Dr. Vijay Pethkar MD PLLC (Mount Juliet, TN). The 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 Vijay Pethkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Pethkar accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Vijay Pethkar 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 Vijay Pethkar affiliated with any hospitals?

According to CMS data, Vijay Pethkar is affiliated with Tristar Skyline Medical Center, Tristar Summit Medical Center, Vanderbilt Wilson County Hospital and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Vijay Pethkar was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.