Doctor profile · Federal record
Dr. Michael Itidiare, D.O., M.B.S
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Internal Medicine Physician · Gastroenterology Physician · Gastroenterology Physician · Kingsport, TN
- NPI 1316388556
- Accepts Medicare
- MIPS 88.4 / 100 · 2023
- 13 yrs in practice
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
130 W Ravine RD
Kingsport, TN 376603837
(423) 224-4000 - Additional location
-
1 Medical Park Blvd
Bristol, TN 376207430
(423) 844-1121 - Additional location
-
1 Capital Way
Pennington, NJ 085342520
(609) 303-4000 - Mailing address
-
1 Capital Way
Pennington, NJ 085342520
Credentials & registration
- NPI registered
- July 2013 — 13 yrs on file
- Profile last updated
- February 25, 2026
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (3)
- New Jersey #25MB10130600 · Tennessee #6450 · Virginia #0102208235
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316388556. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
414
Distinct HCPCS
6
Medicare allowed
$48,227
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 185 | 98 | $84 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 91 | 48 | $126 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 81 | 79 | $182 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | 32 | $139 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 13 | 13 | $53 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | 12 | $112 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 90. This provider delivers 4.6× the peer median.Open Payments
Industry payments received
All-time total
$125
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $125.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
70
Patients
0
Total drug cost
$11,958
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 19 | 0 | $241 |
| Omeprazole | Generic | 14 | 0 | $51 |
| Esomeprazole Magnesium | Generic | 13 | 0 | $75 |
| Propranolol Hcl | Generic | 13 | 0 | $116 |
| Linzess (Linaclotide) | Brand | 11 | 0 | $11,475 |
Hospital affiliations
Frequently asked questions
What is Dr. Michael Itidiare's medical specialty?
Dr. Michael Itidiare practices Gastroenterology Physician in Kingsport, TN.
Where does Dr. Michael Itidiare practice?
Dr. Michael Itidiare practices at 130 W Ravine RD, Kingsport, TN 376603837. Office phone: 4232244000.
What is Dr. Michael Itidiare's NPI?
Dr. Michael Itidiare's National Provider Identifier (NPI) is 1316388556, issued by NPPES.
Does Dr. Michael Itidiare accept Medicare assignment?
Yes. Dr. Michael Itidiare accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Itidiare commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.