DR. JOHN ANDREW TERNAY M.D.
NPI 1861430019
Internal Medicine - Cardiovascular Disease in Powell, TN

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
7557B DANNAHER DR STE 225, POWELL, TN 37849(865) 647-5800(865) 647-5979 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 21, 2020, Jan 21, 2019 (2 updates tracked since 2019).

About Dr. John Andrew Ternay M.d. NPPES

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

DR. JOHN ANDREW TERNAY M.D. (NPI 1861430019) is an individual cardiovascular disease provider in Powell, Tennessee, licensed in Tennessee (40946) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of State University Of Ny Upstate Medical University (1999).

NPPES Registry Identity

NPI1861430019
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN ANDREW TERNAYCredential: M.D.
Location Address7557B DANNAHER DR STE 225Powell, TN 37849-3568
Mailing Address7557b Dannaher Dr Ste 225Powell, TN 37849-3568 · (865) 647-5800 · Fax (865) 647-5979
Fax(865) 647-5979
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1999
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
NPI 1861430019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TN · 40946
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
7557B DANNAHER DR STE 225, Powell, TN 37849

Other Identifiers 1

MedicaidQ017202TN

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. John Andrew Ternay M.d. 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 ID840293171
PECOS Enrollment IDI20060807000089
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 28

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
543 services309 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.
429 services263 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.
288 services160 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
203 services203 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
181 services175 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.
118 services63 patients

Hospital Affiliations CMS Care Compare 5

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Lafollette Medical Center

Acute Care Hospitals · La Follette, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440033
Location923 East Central AvenueLa Follette, TN 37766 · Campbell County
Emergency services

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

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

Tennova Healthcare - Newport Medical Center

Acute Care Hospitals · Newport, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440153
Location435 2nd StNewport, TN 37821 · Cocke 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
$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.

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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,890 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%939 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 617 patients
Patients tobacco: 16% · 57 patients
84%617 patients4/55-star benchmark: 98%
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.

Nurse Practitioner (Family)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Clinical Nurse Specialist (Women's Health)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Interventional Cardiology)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Infectious Disease)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Interventional Cardiology)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Cardiovascular Disease)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Gastroenterology)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Interventional Cardiology)
7557B DANNAHER DR STE 225
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 John Ternay's NPI number?

The NPI number for John Ternay is 1861430019. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is John Ternay located?

John Ternay practices at 7557B Dannaher Dr Ste 225, Powell, TN 37849. The listed phone number is (865) 647-5800.

What is John Ternay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Ternay enrolled in Medicare?

Yes. John Ternay 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 John Ternay accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and UnitedHealthcare list John Ternay 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 John Ternay affiliated with any hospitals?

According to CMS data, John Ternay is affiliated with University Health System, Inc, Lafollette Medical Center, Tennova Healthcare-Jefferson Memorial Hospital, Physicians Regional Medical Center and Tennova Healthcare - Newport Medical Center.

When was this NPI record last updated?

The NPPES record for John Ternay was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.