DR. MUNFORD RADFORD YATES (MD) – Gastroenterology Physician, NPI 1104892017

DR. MUNFORD RADFORD YATES (MD) is a healthcare provider. based in Ooltewah, Tennessee. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 34041 (TN). The NPI Number for DR. MUNFORD RADFORD YATES (MD) is 1104892017

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUNFORD RADFORD YATES (MD)
NPI
1104892017
Phone
(423) 648-0787
Address
9309 Apison Pike
Enumeration Date
28 February 2006
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
4236432500
Graduation Year
1994 (32 years ago)
PAC ID
9335105865
Group Practice PAC ID
2668377391
Professional Enrollment ID
I20041207000548
Address ID
TN374042716CH2200XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

401 GASTROENTEROLOGY in TN

Provider Addresses for DR. MUNFORD RADFORD YATES (MD)

  • 9309 Apison Pike

    Ooltewah, TN 373634340

    Phone: (423) 648-0787

    Fax: (423) 648-0789

    Type: Location

  • 200, East 3rd Street, Chattanooga, Hamilton County, Tennessee, 37403, United States

    CHATTANOOGA, TN 374042745

    Phone: (423) 643-2500

    Fax: (423) 305-7822

    Type: Location

  • 4976 ALPHA LN

    HIXSON, TN 373435470

    Phone: (423) 308-0280

    Fax: (423) 308-0281

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 211 Open Payments records for all available years, with a total value of $3,834.

Total Amount is formed as General ($3,834) + Research ($0) + Ownership ($0) = $3,834.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,734).

Total Amount

$3,834

General + Research + Ownership

Payments

211

Total payment records

General Amount

$3,834

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041207000548IGastroenterologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes598456$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count411212$0
36415Insertion of needle into vein for collection of blood sample346237$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope322304$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare310310$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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Provider's Procedures

DR. MUNFORD RADFORD YATES (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTN45385Removal of polyps or growths of large bowel using an endoscope163163

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668377391View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTN
-TN
Family PracticeTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Family PracticeTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Physician AssistantTN
-TN

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Frequently asked questions

What number should I use to identify DR. MUNFORD RADFORD YATES (MD) for billing?
Administrative and clinical systems typically use NPI 1104892017 for DR. MUNFORD RADFORD YATES (MD).
Is DR. MUNFORD RADFORD YATES (MD)'s NPI status active today?
Active status means DR. MUNFORD RADFORD YATES (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. MUNFORD RADFORD YATES (MD) provide?
DR. MUNFORD RADFORD YATES (MD)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MUNFORD RADFORD YATES (MD) in Ooltewah, Tennessee?
For routing, start with Ooltewah, Tennessee for DR. MUNFORD RADFORD YATES (MD), then verify phone and hours locally.
Who maintains DR. MUNFORD RADFORD YATES (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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