DR. TIDENCE LANE PRINCE (MD) – Allergy & Immunology Physician, NPI 1215922356
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 ALLERGY/IMMUNOLOGY in TN
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Provider Addresses for DR. TIDENCE LANE PRINCE (MD)
6701, Baum Drive, Bearden Commercial Park, Bearden, Knoxville, Knox County, East Tennessee, Tennessee, 37919, United States
SUITE 140
KNOXVILLE, TN 379197360
Phone: (865) 584-5727
Fax: (865) 450-9904
Type: Mailing
611, Morganton Square Drive, Cherokee Park, Maryville, Blount County, East Tennessee, Tennessee, 37801, United States
MARYVILLE, TN 378014763
Phone: (865) 584-8588
Fax: (865) 584-3364
Type: Location
616 W. LAMAR ALEXANDER PARKWAY
MARYVILLE, TN 378014763
Phone: (865) 273-0008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 220 Open Payments records for all available years, with a total value of $52,429.
Total Amount is formed as General ($52,429) + Research ($0) + Ownership ($0) = $52,429.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: CSL Behring ($14,117).
Total Amount
$52,429
General + Research + Ownership
Payments
220
Total payment records
General Amount
$52,429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $14,117 |
| Consortium of Independent Immunology Clinics, LLC | $10,041 |
| GlaxoSmithKline, LLC. | $9,511 |
| AstraZeneca Pharmaceuticals LP | $8,994 |
| Genentech USA, Inc. | $5,397 |
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: 2012-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050601000274 | I | Allergy/Immunology | TN | TBD |
| I20121115000440 | I | Allergy/Immunology | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1575 | Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin | 89,875 | 22 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 15,705 | 421 | $0 |
| 95004 | Test for allergy using allergenic extract | 6,503 | 94 | $0 |
| 95117 | Professional service for multiple injections of allergen | 3,211 | 578 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 1,427 | 86 | $0 |
Insurance plans in this area (ZIP 37919)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | TN | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 48 | 47 |
| ALLERGY/IMMUNOLOGY | TN | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 10099 | 131 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Emergency Medicine | TN | |
| A L L E R G Y/ I M M U N O L O G Y | TN | |
| Pediatric Medicine, Allergy/Immunology | TN | |
| A L L E R G Y/ I M M U N O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| A L L E R G Y/ I M M U N O L O G Y | TN | |
| Allergy/Immunology, Internal Medicine | TN | |
| Nurse Practitioner | TN |
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