HENRY LEWIS GUPTON MD
NPI 1861476152
Family Medicine in Clinton, TN

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
110 EXECUTIVE PARK DR, CLINTON, TN 37716(865) 494-9241(865) 494-0895 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Henry Lewis Gupton Md NPPES

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

HENRY LEWIS GUPTON MD (NPI 1861476152) is an individual family medicine provider in Clinton, Tennessee, licensed in Tennessee (MD0000019752) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1986).

NPPES Registry Identity

NPI1861476152
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHENRY LEWIS GUPTONCredential: MD
Location Address110 EXECUTIVE PARK DRClinton, TN 37716-6876
Mailing Address110 Executive Park DrClinton, TN 37716-6876 · (865) 494-9241 · Fax (865) 494-0895
Fax(865) 494-0895
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1986
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 13, 2013
✔ NPI 1861476152 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 · MD0000019752
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.
110 EXECUTIVE PARK DR, Clinton, TN 37716

Other Identifiers 3

Medicaid3045736TN
Medicare UPINB92548
Medicare PIN3720017TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Henry Lewis Gupton 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 ID2062672967
PECOS Enrollment IDI20120330000344
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.

Medicare Billing Reassignment

Medicare enrollment records show Henry Gupton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
173 services80 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.
117 services74 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.
104 services72 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.
84 services61 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.
57 services38 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
52 services42 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37716 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$14.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$61.01 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 14

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

Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Nurse Practitioner
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Internal Medicine (Interventional Cardiology)
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716
Family Medicine
110 EXECUTIVE PARK DR
CLINTON, TN 37716

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 Henry Gupton's NPI number?

The NPI number for Henry Gupton is 1861476152. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Henry Gupton located?

Henry Gupton practices at 110 Executive Park Dr, Clinton, TN 37716. The listed phone number is (865) 494-9241.

What is Henry Gupton's specialty?

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

Is Henry Gupton enrolled in Medicare?

Yes. Henry Gupton 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.

Which organization bills Medicare for Henry Gupton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Gupton reassigns Medicare benefits to Covenant Medical Group, Inc. (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henry Gupton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henry Gupton accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Henry Gupton 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 Henry Gupton affiliated with any hospitals?

According to CMS data, Henry Gupton is affiliated with Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Henry Gupton was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.