DR. TIMOTHY JOHN POWELL MD
NPI 1801890694
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Cookeville, TN
About Dr. Timothy John Powell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY JOHN POWELL MD (NPI 1801890694) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Cookeville, Tennessee, licensed in Tennessee (MD31584) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Other Identifiers 3
Accepted 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. Timothy John Powell 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.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cumberland Medical Center
Acute Care Hospitals · Crossville, TNCookeville Regional Medical Center
Acute Care Hospitals · Cookeville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Plan | 5% | 871 |
| Closing the Referral Loop: Receipt of Specialist Report | 36% | 36 |
| Colorectal Cancer Screening | 32% | 617 |
| Controlling High Blood Pressure | 75% | 328 |
| Diabetes: Eye Exam | 4% | 95 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 73% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 95 |
| Documentation of Current Medications in the Medical Record | 83% | 1373 |
| Falls: Screening for Future Fall Risk | 2% | 863 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 22% | 990 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 24% | 681 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 80% | 606 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 30% | 148 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 606 |
| Provide Patients Electronic Access to Their Health Information | 43% | 343 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 85% | 535 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 891 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 894 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 894 |
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801890694, enumerated as an "individual" on June 09, 2005.
The provider is located at 222 W 4TH ST STE 201 COOKEVILLE, TN 38501 and the phone number is (931) 783-4269.
Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
Timothy Powell is affiliated with: CUMBERLAND MEDICAL CENTER and COOKEVILLE REGIONAL MEDICAL CENTER.
