Patchouco Theodore, MD
NPI 1528628963 · Family Medicine Physician · Knoxville, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patchouco Theodore, MD is a Family Medicine Physician provider in Knoxville, TN (NPI 1528628963).
Provider details
- NPI number
- 1528628963
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 66626 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
433 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 138 | $200 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 110 | $8 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 102 | $167 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 69 | $116 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 14 | $63 |
Typical Medicare-allowed amounts for these services range $8–$200 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetronbrand: Ondansetron Odt | 42 | 42 |
| Ibuprofen | 34 | 34 |
| Cefdinir | 30 | 30 |
| Prednisone | 23 | 23 |
| Methocarbamol | 21 | 21 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 14 | 14 |
| Dicyclomine Hcl | 12 | 12 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Frequently asked questions
- What is Patchouco Theodore's NPI number?
- Patchouco Theodore's National Provider Identifier (NPI) is 1528628963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patchouco Theodore's specialty?
- Patchouco Theodore is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Patchouco Theodore located?
- Patchouco Theodore's practice location on file with NPPES is 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511.
- What is Patchouco Theodore's phone number?
- The practice phone number listed in the NPPES registry for Patchouco Theodore is (865) 305-9350.
- Does Patchouco Theodore accept Medicare?
- Patchouco Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patchouco Theodore's NPI active?
- Yes — Patchouco Theodore's NPI (1528628963) is active in the NPPES registry as of the last update on 2025-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.