DR. DAVID WILLIAM CLINE MD
NPI 1922162015
Radiology - Diagnostic Radiology in Nashville, TN


Quality Rating: 96.56 out of 100 score

NPI Status: Active since December 21, 2006

Contact Information

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232
Phone: (615) 936-2000

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  • Individual
  • Male
  • Years of Experience 34
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DAVID CLINE

This page provides the complete NPI Profile along with additional information for David Cline, a provider established in Nashville, Tennessee with a medical specialization in Radiology, focusing in diagnostic radiology and more than 34 years of experience. He graduated from Creighton University School Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1922162015 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 65796 (TN). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1922162015
Provider Name
DR. DAVID WILLIAM CLINE MD
Gender
Male
Entity Type
Individual
Location Address
3601 THE VANDERBILT CLINIC NASHVILLE, TN 37232
Location Phone
(615) 936-2000
Mailing Address
3841 GREEN HILLS VILLAGE DR NASHVILLE, TN 37215
Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
12-21-2006
Last Update Date
10-05-2022
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Location Map

Secondary Locations

  • 4060 Fairmount Ave
    San Diego, CA 92105
    (619) 280-4213

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
65796
License State
TN
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

42995 (AZ)
22085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

G87837 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

David Cline is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

David Cline is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5698808889

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220815003387

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

This service was performed 103 times for 103 patients

Diagnostic mammography of 1 breast

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

This service was performed 68 times for 66 patients

Diagnostic mammography of both breasts

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

This service was performed 57 times for 57 patients

Limited ultrasound scan of 1 breast

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

This service was performed 56 times for 54 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 12 times for 12 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 189 times for 189 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 12 times for 12 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 189 times for 189 patients

Ultrasound study of arm or leg veins with compression and maneuvers

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

This service was performed 48 times for 25 patients

Ultrasound study of one arm or leg veins with compression and maneuvers

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

This service was performed 58 times for 29 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 39 times for 36 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.38 for a new patient copayment and $16.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37232 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.01
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.56, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 96.56 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 84.99

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Cline is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
VANDERBILT UNIVERSITY MEDICAL CENTER1211 MEDICAL CENTER DRIVE
NASHVILLE, TN 37232
(615) 322-3454Acute Care Hospitals
VANDERBILT BEDFORD HOSPITAL2835 HWY 231 NORTH
SHELBYVILLE, TN 37160
(931) 685-5433Acute Care Hospitals
VANDERBILT WILSON COUNTY HOSPITAL1411 BADDOUR PARKWAY
LEBANON, TN 37087
(615) 444-2250Acute Care Hospitals

Reviews for DR. DAVID WILLIAM CLINE MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922162015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294226402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 6 + 4 + 0 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1922162015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. ANDY M NORMAN MD

Obstetrics & Gynecology

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

DR. BRADLY STROHLER MD

Pediatrics

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

MS. DEBORAH B MARTIN APRN

Nurse Practitioner

(Acute Care)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

MS. PAMELA A JORDAN APRN

Nurse Practitioner

(Adult Health)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

DR. SABA I SILE MD

Medical Genetics

(Clinical Genetics (M.D.))

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

DR. JAMES T JOHN JR. MD

Internal Medicine

(Rheumatology)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

DR. ROBERT L ESTES MD

Ophthalmology

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

HENRY RUSSELL MD

Surgery

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

DR. PELAYO CORREA MD

Pathology

(Anatomic Pathology & Clinical Pathology)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

ESTHER EISENBERG MD, MPH

Obstetrics & Gynecology

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

MS. DEANNA C DILLON RD, LDN, CDE

Nutritionist

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

PAGE PEEK MILLER CRNA

Nurse Anesthetist, Certified Registered

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

CHRISTOPHER MAHONE TOLLESON MD

Psychiatry & Neurology

(Neurology)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

RICARDO L LEVIN MD

Surgery

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

DR. TIMOTHY J COOPER PSY.D.

Psychologist

(Clinical Child & Adolescent)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

VANDERBILT UNIVERSITY

Social Worker

(Clinical)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

VANDERBILT UNIVERSITY

Nurse Anesthetist, Certified Registered

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

VANDERBILT UNIVERSITY

Advanced Practice Midwife

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

MRS. ERICA BYRUM ANP-BC

Nurse Practitioner

(Adult Health)

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-2318

DR. JOSHUA PATRICK FESSEL MD, PHD

Internal Medicine

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

(615) 322-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922162015, enumerated as an "individual" on December 21, 2006.

The provider is located at 3601 THE VANDERBILT CLINIC NASHVILLE, TN 37232 and the phone number is (615) 936-2000.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Alliant Health Plans, Inc. and Oscar Insurance. Please consult your insurance carrier or call the provider to verify.

David Cline is affiliated with: VANDERBILT UNIVERSITY MEDICAL CENTER, VANDERBILT BEDFORD HOSPITAL and VANDERBILT WILSON COUNTY HOSPITAL.