NICHOLAS P THORNTON IV MD
NPI 1831130731
Family Medicine in Powell, TN

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
201 E EMORY RD, POWELL, TN 37849(865) 938-3627 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas P Thornton Iv Md NPPES

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

NICHOLAS P THORNTON IV MD (NPI 1831130731) is an individual family medicine provider in Powell, Tennessee, licensed in Tennessee (37029) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2001).

NPPES Registry Identity

NPI1831130731
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS P THORNTON IVCredential: MD
Location Address201 E EMORY RDPowell, TN 37849-4016
Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 584-1363
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2001
Enumeration DateJune 10, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
NPI 1831130731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 37029
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 E EMORY RD, Powell, TN 37849

Other Identifiers 2

Medicaid3889692TN
OtherP0155783TN · Rr Medicare Pin

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

Nicholas P Thornton Iv 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 ID8123004439
PECOS Enrollment IDI20040628000522
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 27

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.
246 services140 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
241 services143 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
192 services136 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
159 services122 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
121 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
121 services121 patients

Hospital Affiliations CMS Care Compare 2

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

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37849 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims25 services$4.50 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$0.99 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,140 services$0.06 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$16.54 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
201 E EMORY RD
POWELL, TN 37849
Nurse Practitioner (Family)
201 E EMORY RD
POWELL, TN 37849
Family Medicine
201 E EMORY RD
POWELL, TN 37849
Nurse Practitioner (Family)
201 E EMORY RD
POWELL, TN 37849
Family Medicine
201 E EMORY RD
POWELL, TN 37849
Family Medicine
201 E EMORY RD
POWELL, TN 37849
Nurse Practitioner
201 E EMORY RD
POWELL, TN 37849
Family Medicine
201 E EMORY RD
POWELL, TN 37849

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 Nicholas Thornton's NPI number?

The NPI number for Nicholas Thornton is 1831130731. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Nicholas Thornton located?

Nicholas Thornton practices at 201 E Emory Rd, Powell, TN 37849. The listed phone number is (865) 938-3627.

What is Nicholas Thornton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Thornton enrolled in Medicare?

Yes. Nicholas Thornton 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 Nicholas Thornton accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Nicholas Thornton 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 Nicholas Thornton affiliated with any hospitals?

According to CMS data, Nicholas Thornton is affiliated with Physicians Regional Medical Center and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Thornton was last updated on April 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.