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TODD W MARKWALTER APN
NPI 1700894276
Nurse Practitioner - Family in Johnson City, TN

Active since August 03, 2006PECOS Enrolled
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Todd W Markwalter Apn NPPES

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

TODD W MARKWALTER APN (NPI 1700894276) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (8440) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700894276
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTODD W MARKWALTERCredential: APN
Location Address119 BOONE RIDGE DR, SUITE 201Johnson City, TN 37615-4998
Mailing Address119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateOctober 20, 2014
✔ NPI 1700894276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 8440
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8440 (TN)
119 BOONE RIDGE DR, Johnson City, TN 37615
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Other Identifiers 5

Medicare UPINQ14280
Medicare PIN3928218
Medicaid3928218TN
Medicare PIN103I506785TN
Medicare PIN3928215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd W Markwalter Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Todd Markwalter reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ipc Pac Healthcare Services Of Tennessee PC
17 mi
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
NPI 1104277656 (423) 844-1121
Cs Pacs 3 Southeast, LLC
90 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Southeastern Physician Services PC
105 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Bh Services Southeast 1 PC
386 mi
Nurse Practitioner
2565 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 129 clinicians in this Medicare group
NPI 1164251526 (731) 772-4199
Nv Pacs 2 LLC
1,828 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
374 services58 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
341 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
264 services56 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
155 services48 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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%124 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers39 claims44 services$57.46 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
2 suppliers18 claims18 services$18.96 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.40 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers17 claims17 services$9.34 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
2 suppliers18 claims18 services$101.81 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers71 claims72 services$20.70 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.

AMBER RAMSEY FNP-BC
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
MRS. CARLEEN MARIE OGLE FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. CLAUDIA CORINA COX MD
Internal Medicine
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
CLAIRE D PARIS M.D.
Hospitalist
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. MICHAEL ALLEN KEITH O.D.
Optometrist
119 BOONE RIDGE DR, SUITE 101
JOHNSON CITY, TN 37615
Washington County (423) 283-7300
AMY HAMILTON FNP-C
Nurse Practitioner (Family)
119 BOONE RIDGE DR, STE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
COURTNEY D CONKIN FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
LINDSEY TOWNSEND ELSWICK FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480

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 Todd Markwalter's NPI number?

The NPI number for Todd Markwalter is 1700894276. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Todd Markwalter located?

Todd Markwalter practices at 119 Boone Ridge Dr Suite 201, Johnson City, TN 37615. The listed phone number is (423) 282-1480.

What is Todd Markwalter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Todd Markwalter enrolled in Medicare?

Yes. Todd Markwalter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Todd Markwalter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Markwalter reassigns Medicare benefits to 5 organizations: Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV), Southeastern Physician Services PC (Oak Ridge, TN), Bh Services Southeast 1 PC (Brownsville, TN) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Todd Markwalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Markwalter accept?

Health plans from BlueCross BlueShield of Tennessee list Todd Markwalter 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.

When was this NPI record last updated?

The NPPES record for Todd Markwalter was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.