Active NPI 1336131614 Individual Practitioner Female Practitioner

Teresa Tallon , ARNP

Nurse Practitioner • Covington, KY

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Teresa Tallon, ARNP is a registered Nurse Practitioner practitioner in Covington, KY. With approximately 27 years of clinical practice since completing medical education in 1999, Teresa Tallon provides healthcare services at the registered practice location at 1500 JAMES SIMPSON JR WAY.

Teresa Tallon is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 James Simpson Jr Way
St. Elizabeth Healthcare Wound Care Dept

Covington, KY 410110801

Telephone 8596551100

Fax 8596551102

Associated Practice Facility / Clinic

🏢 Bluegrass Dialysis Llc Facility NPI 1255566444

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Covington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +12.9 yrs vs City Avg

City Avg: 14.1 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Covington, KY (1865 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tallon (27 Years) 27 Yrs

Covington Specialty Average (14.1 Years) 14.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	757	173	$177.00	$60.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	460	181	$171.05	$60.11
11042 Removal of skin and tissue, 20.0 sq cm or less	299	90	$297.00	$100.67
11042 Removal of skin and tissue, 20.0 sq cm or less	278	123	$297.00	$48.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	110	99	$234.15	$87.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	55	54	$319.00	$106.07
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	54	11	$172.00	$44.83
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	53	18	$542.00	$183.03
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	52	22	$542.00	$125.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	40	$254.00	$88.65
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	37	15	$94.00	$20.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	25	$319.00	$108.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	397	93	$120.00	$60.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	353	128	$120.00	$59.96
11042 Removal of skin and tissue, 20.0 sq cm or less	281	87	$238.00	$46.75
11042 Removal of skin and tissue, 20.0 sq cm or less	280	73	$238.00	$100.16
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	105	20	$87.00	$20.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	66	53	$153.64	$86.34
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	46	18	$471.00	$125.42
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	38	38	$226.00	$108.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	37	12	$471.00	$187.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	13	$80.00	$26.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	31	$158.00	$87.64
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	24	$226.00	$108.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	632	124	$120.00	$56.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	613	192	$120.00	$55.31
11042 Removal of skin and tissue, 20.0 sq cm or less	458	103	$238.00	$102.05
11042 Removal of skin and tissue, 20.0 sq cm or less	419	144	$238.00	$48.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	188	121	$153.06	$73.19
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	155	37	$87.00	$21.93
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	123	23	$153.00	$46.85
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	99	21	$87.00	$32.40
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	93	24	$471.00	$187.24
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	91	41	$471.00	$127.79
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	65	11	$153.00	$59.79
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	55	55	$226.00	$104.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	46	$158.00	$74.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	20	$76.55	$29.85
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	27	25	$77.00	$35.66
99318 Nursing facility annual assessment, typically 30 minutes	26	26	$200.00	$75.73
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$226.00	$104.51
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	15	$77.00	$35.44
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$129.67	$54.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	546	111	$120.00	$56.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	521	156	$120.00	$55.98
11042 Removal of skin and tissue, 20.0 sq cm or less	519	162	$238.00	$47.92
11042 Removal of skin and tissue, 20.0 sq cm or less	383	87	$238.00	$101.01
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	178	33	$87.00	$22.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	148	120	$154.27	$74.72
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	137	18	$153.00	$47.38
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	109	31	$471.00	$129.96
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	81	29	$471.00	$194.48
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	79	16	$87.00	$33.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	28	$72.00	$28.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	52	51	$226.00	$105.82
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	51	12	$153.00	$62.04
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	39	27	$77.00	$35.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	29	$158.00	$75.89
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$226.00	$105.81
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$200.00	$77.13
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	11	11	$77.00	$35.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	530	104	$238.00	$99.25
11042 Removal of skin and tissue, 20.0 sq cm or less	450	140	$238.00	$50.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	418	158	$120.00	$56.81
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	268	73	$77.00	$36.79
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	205	16	$87.00	$33.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	123	76	$120.00	$57.78
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	109	61	$77.00	$36.71
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	108	29	$471.00	$190.33
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	106	29	$87.00	$23.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	77	68	$153.64	$75.03
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	70	25	$471.00	$132.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	24	$72.00	$21.53
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	59	14	$153.00	$48.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	40	40	$226.00	$107.89
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	30	30	$226.00	$108.48
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$119.00	$42.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	15	$158.00	$75.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$173.00	$63.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	837	250	$117.82	$56.13
11042 Removal of skin and tissue, 20.0 sq cm or less	503	148	$236.42	$49.87
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	493	11	$87.00	$33.39
11042 Removal of skin and tissue, 20.0 sq cm or less	486	79	$236.37	$94.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	439	104	$114.86	$56.93
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	160	31	$87.00	$22.19
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	151	16	$153.00	$46.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	149	116	$150.59	$73.60
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	111	27	$471.00	$129.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	34	$69.50	$21.05
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	89	20	$471.00	$188.82
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	32	32	$148.00	$74.78
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$116.00	$42.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	23	$148.00	$74.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	20	$153.10	$75.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.73	$62.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	866	269	$117.50	$55.28
11042 Removal of skin and tissue, 20.0 sq cm or less	502	124	$235.00	$50.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	441	102	$109.32	$56.44
11042 Removal of skin and tissue, 20.0 sq cm or less	408	78	$235.00	$92.84
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	338	13	$87.00	$33.02
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	215	32	$87.00	$21.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	209	177	$147.01	$73.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	32	$67.00	$20.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	64	$144.55	$74.71
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$114.00	$41.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$168.00	$62.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	964	244	$117.22	$54.77
11042 Removal of skin and tissue, 20.0 sq cm or less	495	133	$235.00	$50.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	357	80	$109.18	$56.04
11042 Removal of skin and tissue, 20.0 sq cm or less	346	66	$235.00	$91.69
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	225	38	$87.00	$21.59
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	186	163	$146.26	$73.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	30	$67.00	$20.10
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	58	12	$87.00	$30.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	47	$144.00	$74.45
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$114.00	$39.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$168.00	$62.11

Medical Specialties & State Licenses

CMS Verified: 2023-11-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3003070

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH RN262226

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse - Wound Care

NUCC Taxonomy Code: 163WW0000X

State License KY 1074586

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.06510

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

78003845 (KY)

Medicaid State Provider ID

2376861 (OH)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

1500 James Simpson Jr Way, Covington, KY 410110800

Phone: 8596554111

Summit Medical Group Inc

8001 Dayton Springfield Rd, Fairborn, OH 453241907

Phone: 8596551100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Eugene Burchell , MD

Obstetrics & Gynecology

NPI 1013914381

Doctor of Medicine (M.D.)

Eric Wood , PA-C

Physician Assistant

NPI 1013940956

Physician Assistant (Certified)

Dr. Allen Zobay , MD

Internal Medicine

NPI 1417179888

Doctor of Medicine (M.D.)

Dr. Susan Kushman , MD

Emergency Medicine

NPI 1811998701

Doctor of Medicine (M.D.)

Dr. Roger Teller , MD

Internal Medicine - Infectious Disease

NPI 1992747372

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address September 18, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593015901)

✅

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 26, 2017

Registered at 2300 CHAMBER CENTER DR, LAKESIDE PARK, KY 410171686 (Tel: 8596551100)

📍

Updated Practice Location April 26, 2017

Registered at 1500 JAMES SIMPSON JR WAY, ST. ELIZABETH HEALTHCARE WOUND CARE DEPT, COVINGTON, KY 410110801 (Tel: 8596551100)

👤

Provider Name / Credentials Updated April 26, 2017

Recorded as TERESA TALLON, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Registered Nurse (License #RN262226 in OH)

✅

NPI Profile Active September 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2015

Registered at 1500 JAMES SIMPSON JR WAY, ST. ELIZABETH HEALTHCARE WOUND CARE DEPT, COVINGTON, KY 410110801 (Tel: 8596551100)

📍

Updated Business Mailing Address September 30, 2015

Registered at PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 452635283 (Tel: 8593445555)

👤

Provider Name / Credentials Updated September 30, 2015

Recorded as TERESA TALLON, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2015

Registered Nurse (License #RN262226 in OH)

🟢

Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336131614

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 22, 2005

Last Update: November 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593015901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.