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SUSAN P ABERNATHY D.O.
NPI 1780632141
Otolaryngology in Greeneville, TN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1410 TUSCULUM BLVD, SUITE 2500, GREENEVILLE, TN 37745(423) 638-1291(423) 638-9398 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan P Abernathy D.o. NPPES

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

SUSAN P ABERNATHY D.O. (NPI 1780632141) is an individual otolaryngology provider in Greeneville, Tennessee, licensed in Tennessee (1381) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Greeneville Community Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1978).

NPPES Registry Identity

NPI1780632141
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameSUSAN P ABERNATHYCredential: D.O.
Location Address1410 TUSCULUM BLVD, SUITE 2500Greeneville, TN 37745-5821
Mailing Address1410 Tusculum Blvd, Suite 2500Greeneville, TN 37745-5821 · (423) 638-1291 · Fax (423) 638-9398
Phone(423) 638-1291
Fax(423) 638-9398
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1978
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1780632141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TN · 1381
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1410 TUSCULUM BLVD, Greeneville, TN 37745
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Other Identifiers 1

Medicaid3373004TN

Accepted Insurance

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

Susan P Abernathy D.o. 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 ID8527021369
PECOS Enrollment IDI20101108000783
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 10

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
571 services11 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
210 services13 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.
157 services112 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 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.
56 services49 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
53 services41 patients

Hospital Affiliations CMS Care Compare

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

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37745 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims34 services$2.20 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.

MR. JOE DAVID MOTTERN FNP
Nurse Practitioner
1410 TUSCULUM BLVD, SUITE 2300
GREENEVILLE, TN 37745
Greene County (423) 823-5190
DR. KEVIN S TOPPENBERG MD
Family Medicine
1410 TUSCULUM BLVD, SUITE 2600
GREENEVILLE, TN 37745
Greene County (423) 787-7000
GREATER REGIONAL EYE GROUP
Optometrist
1410 TUSCULUM BLVD
GREENEVILLE, TN 37745
Greene County (423) 636-7394
PATTERSON MASON & FLOHR
Specialist
1410 TUSCULUM BLVD, STE 1700
GREENEVILLE, TN 37745
Greene County (423) 787-7109
LLOYD R BARNES MD
Specialist
1410 TUSCULUM BLVD, STE 1800
GREENEVILLE, TN 37745
Greene County (423) 787-7060
JOLENE SLOCUM-HOFFMAN AUD
Audiologist
1410 TUSCULUM BLVD, SUITE 2500
GREENEVILLE, TN 37745
Greene County (423) 638-1291
ANIL V TUMKUR MD
Internal Medicine (Hematology & Oncology)
1410 TUSCULUM BLVD, SUITE 2200
GREENEVILLE, TN 37745
Greene County (423) 639-0243
NOLICHUCKEY MANAGEMENT SERVICES, INC.
Surgery
1410 TUSCULUM BLVD, SUITE 1700
GREENEVILLE, TN 37745
Greene County (423) 787-7100

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 Susan Abernathy's NPI number?

The NPI number for Susan Abernathy is 1780632141. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Susan Abernathy located?

Susan Abernathy practices at 1410 Tusculum Blvd Suite 2500, Greeneville, TN 37745. The listed phone number is (423) 638-1291.

What is Susan Abernathy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Susan Abernathy enrolled in Medicare?

Yes. Susan Abernathy 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 Susan Abernathy accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Susan Abernathy 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 Susan Abernathy affiliated with any hospitals?

According to CMS data, Susan Abernathy is affiliated with Greeneville Community Hospital.

When was this NPI record last updated?

The NPPES record for Susan Abernathy was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.