OTAKAR KRCAL (MD) – Neurology Physician, NPI 1396868022

OTAKAR KRCAL (MD) is a healthcare provider. based in Kingsport, Tennessee. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD0000042007 (TN). The NPI Number for OTAKAR KRCAL (MD) is 1396868022

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
OTAKAR KRCAL (MD)
NPI
1396868022
Phone
(423) 247-5553
Address
8 SHERIDAN SQ STE 200
Enumeration Date
9 April 2007
Last Update Date
29 October 2019

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4232475553
Graduation Year
2007 (19 years ago)
PAC ID
3971695958
Group Practice PAC ID
4880669308
Professional Enrollment ID
I20070822000800
Address ID
TN376607479KI8XXXXSQXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

611 NEUROLOGY in TN

Provider Addresses for OTAKAR KRCAL (MD)

  • 8 SHERIDAN SQ STE 200

    KINGSPORT, TN 376607479

    Phone: (423) 247-5553

    Fax: (423) 247-9254

    Type: Mailing

  • 8 SHERIDAN SQ

    STE 200

    KINGSPORT, TN 376607479

    Phone: (423) 857-1360

    Fax: (423) 723-0563

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 439 Open Payments records for all available years, with a total value of $8,525.

Total Amount is formed as General ($8,525) + Research ($0) + Ownership ($0) = $8,525.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: UCB, Inc. ($1,144).

Total Amount

$8,525

General + Research + Ownership

Payments

439

Total payment records

General Amount

$8,525

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

Top Companies

Largest payers in this snapshot

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: 2007-08-22

PECOS data refreshed: 2026-06-15

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
I20070822000800INeurologyTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes332210$0
99205New patient office or other outpatient visit, 60-74 minutes5858$0
99215Established patient office or other outpatient visit, 40-54 minutes4738$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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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: 4880669308View full group profile
NameSpecialtyState
N E U R O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I cross-check OTAKAR KRCAL (MD) using NPI 1396868022?
NPI 1396868022 belongs to OTAKAR KRCAL (MD); compare other details if you need extra assurance.
Is there an active status for OTAKAR KRCAL (MD)?
For scheduling context, OTAKAR KRCAL (MD) is shown as active in the registry.
How would a patient describe OTAKAR KRCAL (MD)'s focus?
For OTAKAR KRCAL (MD), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
Is OTAKAR KRCAL (MD) located near Kingsport?
OTAKAR KRCAL (MD) currently maps to Kingsport, Tennessee in this extract.
When was this NPI issued?
Enumeration for OTAKAR KRCAL (MD) is noted as April 9, 2007 where the registry provides it.

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