SUSAN SOUTHER M.D.
NPI 1861482077
Internal Medicine - Cardiovascular Disease in Maryville, TN

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1934 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 331-4510(865) 374-2128 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 15, 2026, May 5, 2026, Nov 19, 2025 and 4 more (7 updates tracked since 2017).

About Susan Souther M.d. NPPES

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

SUSAN SOUTHER M.D. (NPI 1861482077) is an individual cardiovascular disease provider in Maryville, Tennessee, licensed in Tennessee (15704) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1989).

NPPES Registry Identity

NPI1861482077
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSUSAN SOUTHERCredential: M.D.
Location Address1934 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5284
Mailing Address1934 E Lamar Alexander PkwyMaryville, TN 37804-5284 · (865) 331-4510 · Fax (865) 374-2128
Fax(865) 374-2128
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1989
Enumeration DateOctober 27, 2005
Last NPPES UpdateMay 15, 20267 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
NPI 1861482077 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 · 15704
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.
1934 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

Other Identifiers 1

Medicaid3015605TN

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

Susan Souther 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 ID4981780731
PECOS Enrollment IDI20090615000161
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 12

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 only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
606 services472 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.
199 services195 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
151 services59 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
150 services58 patients
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.
144 services124 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.
140 services114 patients

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1934 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Nurse Practitioner (Family)
1934 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804

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 Susan Souther's NPI number?

The NPI number for Susan Souther is 1861482077. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Susan Souther located?

Susan Souther practices at 1934 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 331-4510.

What is Susan Souther's specialty?

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

Is Susan Souther enrolled in Medicare?

Yes. Susan Souther 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 Susan Souther accept?

Health plans from BlueCross BlueShield of Tennessee list Susan Souther 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 Susan Souther affiliated with any hospitals?

According to CMS data, Susan Souther is affiliated with Blount Memorial Hospital and University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Susan Souther was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.