DR. DANIEL RICHARD LENOIR M.D.
NPI 1861474967
Family Medicine in Oak Ridge, TN

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
84.13/100
CMS Quality Rating
100 VERMONT AVE, OAK RIDGE, TN 37830(865) 482-1777(865) 482-1030 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel Richard Lenoir M.d. NPPES

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

DR. DANIEL RICHARD LENOIR M.D. (NPI 1861474967) is an individual family medicine provider in Oak Ridge, Tennessee, licensed in Tennessee (024712) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Roane Medical Center, and is a graduate of Tulane University School Of Medicine (1984).

NPPES Registry Identity

NPI1861474967
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL RICHARD LENOIRCredential: M.D.
Location Address100 VERMONT AVEOak Ridge, TN 37830-6471
Mailing Address100 Vermont AveOak Ridge, TN 37830-6471 · (865) 482-1777 · Fax (865) 482-1030
Fax(865) 482-1030
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1984
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 27, 2021
NPPES CertifiedApril 27, 2021
NPI 1861474967 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 · 024712
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.
100 VERMONT AVE, Oak Ridge, TN 37830

Other Identifiers 2

Medicaid3077021TN
Other080047983TN · Medicare Railroad

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. Daniel Richard Lenoir 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 ID9931243946
PECOS Enrollment IDI20100215000299
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 38

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 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.
810 services396 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.
448 services323 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.
387 services301 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.
355 services244 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
327 services266 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
317 services270 patients

Hospital Affiliations CMS Care Compare 3

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

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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.

84.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.13
Promoting Interoperability100
Improvement Activities40
Cost49

Reported Quality Measures

Breast Cancer Screening
72%416 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
71%981 patients4/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%289 patients4/55-star benchmark: 91%
e-Prescribing
100%4,060 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%975 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
95%1,304 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
100%969 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%735 patients3/55-star benchmark: 91%
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 12

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
12 suppliers66 claims164 services$5.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims24 services$0.92 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$32.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims92 services$1.95 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 suppliers21 claims21 services$13.27 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$6.56 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 17

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

Nurse Practitioner (Family)
100 VERMONT AVE
OAK RIDGE, TN 37830
Family Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830
Family Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830
Family Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830
Family Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830
Family Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830
Internal Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830
Family Medicine
100 VERMONT AVE
OAK RIDGE, TN 37830

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 Daniel Lenoir's NPI number?

The NPI number for Daniel Lenoir is 1861474967. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Daniel Lenoir located?

Daniel Lenoir practices at 100 Vermont Ave, Oak Ridge, TN 37830. The listed phone number is (865) 482-1777.

What is Daniel Lenoir's specialty?

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

Is Daniel Lenoir enrolled in Medicare?

Yes. Daniel Lenoir 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 Daniel Lenoir accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Daniel Lenoir 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 Daniel Lenoir affiliated with any hospitals?

According to CMS data, Daniel Lenoir is affiliated with Roane Medical Center, Methodist Medical Center Of Oak Ridge and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Lenoir was last updated on April 27, 2021. 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.