Doctor profile · Federal record

Dr. Todd Horton, MD

Orthopaedic Hand Surgery Physician (CMS: Orthopedic Surgery) · Orthopaedic Hand Surgery Physician · Orthopaedic Surgery Physician · Orthopaedic Hand Surgery Physician · Orthopaedic Hand Surgery Physician · Kingsport, TN

  • NPI 1831296813
  • Accepts Medicare
  • MIPS 76.0 / 100 · 2023
  • 28 yrs in practice
  • Licensed in 4 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
430 W Ravine RD
Kingsport, TN 376603868
(423) 245-3161
fax (423) 245-3868
Additional location
408 N State of Franklin RD, Suite 31
Johnson City, TN 376046089
(423) 431-2477
fax (423) 431-2478
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 376042192

Credentials & registration

NPPES · NUCC
NPI registered
September 2006 — 20 yrs on file
Profile last updated
December 29, 2025
Year of graduation
1998 — 28 yrs since
Specialty taxonomy
207XS0106X — NUCC code
State licenses (4)
Tennessee #47162 · Indiana #01064391A · Pennsylvania #MD 427123 · North Carolina #2007-01503
Medicaid (2)
VA #1831296813 · TN #1523729

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1831296813. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
533
Distinct HCPCS
10
Medicare allowed
$76,858
HCPCS Description Services Patients Avg allowed
73030 X-ray of shoulder, minimum of 2 views 123 68 $31
99214 Established patient office or other outpatient visit, 30-39 minutes 68 66 $117
99212 Established patient office or other outpatient visit, 10-19 minutes 54 43 $52
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 54 33 $6
99204 New patient office or other outpatient visit, 45-59 minutes 52 52 $152
73130 X-ray of hand, minimum of 3 views 35 25 $34
99213 Established patient office or other outpatient visit, 20-29 minutes 33 31 $81
20610 Aspiration and/or injection of fluid from large joint 23 20 $61
23472 Prosthetic repair of shoulder joint, total shoulder 19 19 $1,312
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and 18 15 $48

In context: peer comparison

Among 1 peers in Kingsport Orthopaedic Hand Surgery Physician, average services per provider: 38. This provider delivers 14× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$366
Transactions
13
Manufacturers
10
Payer (manufacturer) Industry Txns Amount
Ossur Americas, INC. 1 $138.95
Stryker Corporation 2 $46.16
Djo, LLC 2 $42.28
Pacira Pharmaceuticals Incorporated 1 $35.79
Boston Scientific Corporation 1 $23.63
Integra LifeSciences Corporation 1 $19.39
Smoky Mountain Surgical LLC 1 $18.10
Nevro Corp. 1 $15.57
Solventum Corporation 1 $13.26
Skeletal Dynamics INC 2 $12.88

By nature of payment

Food and Beverage
$366

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
621
Patients
375
Total drug cost
$6,585
Drug Type Claims Patients Total cost
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 329 184 $4,001
Meloxicam Generic 117 62 $603
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 88 76 $777
Enoxaparin Sodium Generic 31 24 $794
Oxycodone Hcl Generic 19 16 $87
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 15 13 $150
Clindamycin Hcl Generic 11 0 $148
Tramadol Hcl Generic 11 0 $25

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Todd Horton's medical specialty?
Dr. Todd Horton practices Orthopaedic Hand Surgery Physician in Kingsport, TN.
Where does Dr. Todd Horton practice?
Dr. Todd Horton practices at 430 W Ravine RD, Kingsport, TN 376603868. Office phone: 4232453161.
What is Dr. Todd Horton's NPI?
Dr. Todd Horton's National Provider Identifier (NPI) is 1831296813, issued by NPPES.
Does Dr. Todd Horton accept Medicare assignment?
Yes. Dr. Todd Horton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Todd Horton commonly perform?
Top Medicare-reported procedures in 2023: X-ray of shoulder, minimum of 2 views (HCPCS 73030); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.