TOM K STATHOPOULOS (M.D.) – Cardiovascular Disease Physician, NPI 1922053511
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
757 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TN
Provider Addresses for TOM K STATHOPOULOS (M.D.)
1901 S Shady St Ste 1
Mountain City, TN 376832021
Phone: (423) 727-6674
Fax: (423) 727-1268
Type: Location
2428 Knob Creek Rd Ste 201
Johnson City, TN 376042396
Phone: (423) 282-5054
Type: Location
1410 Tusculum Blvd Ste 1200
Greeneville, TN 377455815
Phone: (423) 787-7100
Type: Location
4309 W Medical Center Dr Ste A200
McHenry, IL 60050
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
10370 Haligus Rd Ste 200
Huntley, IL 601429582
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
360 Station Dr Fl 3
Crystal Lake, IL 600147978
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
1555 Barrington Rd
Suite 2300B
Hoffman Estates, IL 601691019
Phone: (847) 843-7030
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
1410 TUSCULUM BLVD STE 1500
GREENEVILLE, TN 377455810
Phone: (423) 638-2270
Fax: (423) 638-2205
Type: Location
West Medical Center Drive, McHenry, McHenry County, Illinois, 60050, United States
MCHENRY, IL 600508437
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Boston Scientific Corporation ($99).
Total Amount
$146
General + Research + Ownership
Payments
6
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $99 |
| Lantheus Medical Imaging, Inc. | $46 |
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: 2025-09-22
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 |
|---|---|---|---|---|
| I20050408001016 | I | Cardiovascular Disease (Cardiology) | IL | TBD |
| I20250922000219 | I | Cardiovascular Disease (Cardiology) | TN | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,175 | 1,054 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 861 | 845 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 703 | 514 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 623 | 287 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 355 | 338 | $0 |
Insurance plans in this area (ZIP 37683)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 80 | 80 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology | FL | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | TN | |
| Nurse Practitioner | VA |
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