PEDRO PABLO FLORES M.D.
NPI 1871774042
Internal Medicine in Jellico, TN
About Pedro Pablo Flores M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDRO PABLO FLORES M.D. (NPI 1871774042) is an individual internal medicine provider in Jellico, Tennessee, licensed in Tennessee (46487) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 2
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
Pedro Pablo Flores 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.
Medicare Billing Reassignments
6Medicare enrollment records show Pedro Flores reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky and Tennessee enrollments
- 358 clinicians in this Medicare group
Pikeville, TN 37367
- Reassigned Medicare billing, Tennessee enrollment
- 533 clinicians in this Medicare group
Chattanooga, TN 37403
- Reassigned Medicare billing, Tennessee enrollment
- 679 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Shelbyville, TN 37160
- Reassigned Medicare billing, Tennessee enrollment
- 498 clinicians in this Medicare group
Powderly, KY 42367
- Reassigned Medicare billing, Kentucky enrollment
- 325 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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Deaconess Madisonville
Acute Care Hospitals · Madisonville, KYTennova Health Care-Cleveland
Acute Care Hospitals · Cleveland, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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.
JELLICO, TN 37762
JELLICO, TN 37762
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 Pedro Flores's NPI number?
The NPI number for Pedro Flores is 1871774042. It was assigned to this individual provider in the NPPES registry on November 16, 2007.
Where is Pedro Flores located?
Pedro Flores practices at 188 Hospital Ln, Jellico, TN 37762. The listed phone number is (423) 784-3500.
What is Pedro Flores's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pedro Flores enrolled in Medicare?
Yes. Pedro Flores 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 organizations bill Medicare for Pedro Flores's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Flores reassigns Medicare benefits to 6 organizations: Southeastern Physician Services PC (Oak Ridge, TN), Chattanooga Hamilton County Hospital Authority (Pikeville, TN), Erlanger Health (Chattanooga, TN), Southeastern Emergency Physicians LLC (Maysville, KY), App Of Tennessee Hm, PLLC (Shelbyville, TN) and 1 more organization, listed in the Medicare section above. Each 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 Pedro Flores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pedro Flores accept?
Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield and Cigna Healthcare list Pedro Flores 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 Pedro Flores affiliated with any hospitals?
According to CMS data, Pedro Flores is affiliated with Baptist Health Deaconess Madisonville and Tennova Health Care-Cleveland.
When was this NPI record last updated?
The NPPES record for Pedro Flores was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Pedro Pablo Flores, M.D. · NPI 1871774042
Internal Medicine physician in Jellico, Tennessee. Individual provider, active in the CMS NPPES registry since November 16, 2007.
## Identity
- **NPI:** 1871774042 (Entity type: Individual)
- **Enumerated:** November 16, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 46487 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 188 HOSPITAL LN, Jellico, TN 37762-4400
- **Phone:** (423) 784-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); Chattanooga Hamilton County Hospital Authority (NPI 1023178787, Pikeville, TN); Erlanger Health (NPI 1477256303, Chattanooga, TN); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); App Of Tennessee Hm, PLLC (NPI 1396160768, Shelbyville, TN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** March 19, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1871774042) · Data from the CMS NPPES public registry.