Carole Long, MD
NPI 1609912054 · Internal Medicine Physician · Maryville, TN
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carole Long, MD is a Internal Medicine Physician provider in Maryville, TN (NPI 1609912054).
Provider details
- NPI number
- 1609912054
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25116 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
958 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 424 | $70 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 286 | $109 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 159 | $105 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 70 | $157 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 19 | $74 |
Typical Medicare-allowed amounts for these services range $70–$157 (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 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 50 | 31 |
| Pantoprazole Sodium | 47 | 35 |
| Furosemide | 30 | 23 |
| Prednisone | 27 | 25 |
| Metoprolol Succinate | 25 | 13 |
| Apixabanbrand: Eliquis | 23 | 15 |
| Cefdinir | 21 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$88 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Carole Long's NPI number?
- Carole Long's National Provider Identifier (NPI) is 1609912054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carole Long's specialty?
- Carole Long is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carole Long located?
- Carole Long's practice location on file with NPPES is 2036 Chilhowee Professional Park, Maryville, TN 37804-5285.
- What is Carole Long's phone number?
- The practice phone number listed in the NPPES registry for Carole Long is (865) 379-4490.
- Does Carole Long accept Medicare?
- Carole Long is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carole Long's NPI active?
- Yes — Carole Long's NPI (1609912054) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.