Doctor profile · Federal record
Dr. Patchouco Theodore, MD
Family Medicine Physician (CMS: Family Practice) · Emergency Medicine Physician · Student in an Organized Health Care Education/Training Program · Knoxville, TN
- NPI 1528628963
- 8 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1924 Alcoa Hwy # U-67
Knoxville, TN 379201511
(865) 305-9350
fax (865) 305-8942 - Mailing address
-
10300 Sw 216Th St
Cutler Bay, FL 331901003
Credentials & registration
- NPI registered
- June 2019 — 7 yrs on file
- Profile last updated
- December 10, 2025
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Louisiana #350083 · Tennessee #66626
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528628963. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
256
Distinct HCPCS
4
Medicare allowed
$29,908
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 82 | 80 | $168 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 77 | 75 | $8 | |
99291 |
Critical care, first 30-74 minutes | 53 | 53 | $197 | |
99284 |
Emergency department visit with moderate level of medical decision making | 44 | 44 | $116 |
In context: peer comparison
Among 70 peers in this city , average services per provider: 83. This provider delivers 3.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
137
Patients
137
Total drug cost
$1,848
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 25 | 25 | $80 |
| Methocarbamol | Generic | 25 | 25 | $128 |
| Ondansetron Odt (Ondansetron) | Brand | 20 | 20 | $109 |
| Cefdinir | Generic | 16 | 16 | $270 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 15 | 15 | $52 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 12 | 12 | $146 |
| Cefpodoxime Proxetil | Generic | 12 | 12 | $1,034 |
| Prednisone | Generic | 12 | 12 | $28 |
Hospital affiliations
Frequently asked questions
What is Dr. Patchouco Theodore's medical specialty?
Dr. Patchouco Theodore practices Family Medicine Physician in Knoxville, TN.
Where does Dr. Patchouco Theodore practice?
Dr. Patchouco Theodore practices at 1924 Alcoa Hwy # U-67, Knoxville, TN 379201511. Office phone: 8653059350.
What is Dr. Patchouco Theodore's NPI?
Dr. Patchouco Theodore's National Provider Identifier (NPI) is 1528628963, issued by NPPES.
Does Dr. Patchouco Theodore accept Medicare assignment?
Dr. Patchouco Theodore does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Patchouco Theodore commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.