THERESA S EMORY (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1639155492
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
460 PATHOLOGY in TN
Provider Addresses for THERESA S EMORY (M.D.)
1918 W State St
Bristol, TN 376201940
Phone: (423) 764-3191
Fax: (423) 652-1526
Type: Location
5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436141509
Phone: (800) 288-8325
Type: Mailing
Riverside Regional Medical Center, 500, J Clyde Morris Boulevard, Deer Park, Newport News, Newport News City, Virginia, 23601, United States
NEWPORT NEWS, VA 236011929
Phone: (757) 594-2160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $189.
Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.
Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Mentor Worldwide LLC ($128).
Total Amount
$189
General + Research + Ownership
Payments
2
Total payment records
General Amount
$189
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $128 |
| AstraZeneca Pharmaceuticals LP | $61 |
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: 2012-08-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120814000469 | I | Pathology | VA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,235 | 673 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 294 | 62 | $0 |
| 84165 | Protein measurement, serum | 164 | 160 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 121 | 79 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 117 | 106 | $0 |
Insurance plans in this area (ZIP 37620)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | TN | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 134 | 120 |
| PATHOLOGY | TN | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 42 | 23 |
| PATHOLOGY | TN | 88342 | Tissue or cell analysis by immunologic technique | 216 | 193 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH |
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