EUGENE D. EDDLEMON M.D. NPI 1871525477

NPI Information

  • NPI: 1871525477
  • Provider Name: EUGENE D. EDDLEMON, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2253 CHAMBLISS AVE.
    STE. 401
    CLEVELAND, TN
    ZIP 37311
  • Phone: (423) 267-0466

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NPI Details

Eugene D. Eddlemon, M.D. is a vascular surgery surgery in Cleveland, TN with 40 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Eugene D. Eddlemon, M.D. NPI is 1871525477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2253 CHAMBLISS AVE.
STE. 401
CLEVELAND, TN
ZIP 37311
Phone: (423) 267-0466
Fax: (423) 778-5177

The NPI 1871525477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Permanent blockage of hemodialysis circuit with review by radiologist (HCPCS:36909)
  • Insertion of abdominal cavity tube using an endoscope (HCPCS:49324)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Revision of hemodialysis graft (HCPCS:36832)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/6/2006 and was last updated on 10/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryG68376CALIFORNIANo
22086S0129XSurgeryVascular SurgeryG68376CALIFORNIANo
32086S0129XSurgeryVascular SurgeryMD67391TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q090231MEDICAIDTENNESSEE
2G68376OTHERCALIFORNIABLUE CROSS/SHIELD, ETC.
300G683761MEDICAIDCALIFORNIA
494-3365249OTHERCALIFORNIAPRIVATE PAYERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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