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MRS. JULI G HORTON MD
NPI 1679568364
Internal Medicine - Infectious Disease in Nashville, TN

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2400 PATTERSON ST, SUITE 400, NASHVILLE, TN 37203(615) 342-5900(615) 342-5912 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Juli G Horton Md NPPES

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

MRS. JULI G HORTON MD (NPI 1679568364) is an individual infectious disease provider in Nashville, Tennessee, licensed in Tennessee (MD022146) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Duke University School Of Medicine (1990).

NPPES Registry Identity

NPI1679568364
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMRS. JULI G HORTONCredential: MD
Location Address2400 PATTERSON ST, SUITE 400Nashville, TN 37203-1562
Mailing Address2400 Patterson St, Suite 400Nashville, TN 37203-1562 · (615) 342-5900 · Fax (615) 342-5912
Phone(615) 342-5900
Fax(615) 342-5912
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1990
Enumeration DateSeptember 19, 2005
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1679568364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TN · MD022146
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

2400 PATTERSON ST, Nashville, TN 37203
Open in Google Maps ↗

Other Identifiers 2

Medicaid3098413TN
Medicaid64044373KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Mrs. Juli G Horton 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 ID42342958
PECOS Enrollment IDI20100713000035
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 6

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.

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.
504 services158 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.
469 services147 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.
162 services142 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.
93 services52 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.
88 services49 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%225 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
37%227 patients2/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
71%49 patients3/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%1,345 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
62%90 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%49 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
69%394 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
34%90 patients2/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
37%287 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
3%360 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%394 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
28%394 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 86 patients
0%86 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
17%394 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. TAMMY MICHELLE BAXTER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2400 PATTERSON ST, SUITE 215
NASHVILLE, TN 37203
Davidson County (615) 342-7345
MR. JOHN E ANDERSON MD
Internal Medicine
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Davidson County (615) 342-5900
MS. JUDITH MARIE CALDWELL NP
Nurse Practitioner (Primary Care)
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Davidson County (615) 342-5900
MR. ROBERT BRUCE WEEKS PA-C
Physician Assistant (Surgical)
2400 PATTERSON ST, SUITE 300
NASHVILLE, TN 37203
Davidson County (615) 342-6300
THOMAS STEVAN JOHNSTON MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2400 PATTERSON ST, SUITE 502
NASHVILLE, TN 37203
Davidson County (615) 515-1900
MRS. MELISSA MOON KENT MSN, RN, ACNP-BC
Nurse Practitioner (Acute Care)
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203
Davidson County (615) 342-0038
WILLIAM R SCHOOLEY M.D.
Neurological Surgery
2400 PATTERSON ST, SUITE 319
NASHVILLE, TN 37203
Davidson County (615) 986-1256
MERLINDA BERNARDO REYES PT
Physical Therapist
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203
Davidson County (615) 342-0038

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 Juli Horton's NPI number?

The NPI number for Juli Horton is 1679568364. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Juli Horton located?

Juli Horton practices at 2400 Patterson St Suite 400, Nashville, TN 37203. The listed phone number is (615) 342-5900.

What is Juli Horton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Juli Horton enrolled in Medicare?

Yes. Juli Horton 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 Juli Horton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Juli Horton 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 Juli Horton affiliated with any hospitals?

According to CMS data, Juli Horton is affiliated with The Medical Center (bowling Green) and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Juli Horton was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.