Active NPI 1184605966 Individual Practitioner Male Practitioner

Dr. Thomas N Epperson , MD

Internal Medicine • Middlesboro, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Epperson, MD is a certified Internal Medicine practicing in Middlesboro, KY. With approximately 34 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1992, Dr. Epperson delivers high-quality medical care to the local community at 3504 CUMBERLAND AVE.

Dr. Epperson is affiliated with Arh Mary Breckinridge Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3504 Cumberland Ave

Middlesboro, KY 409652612

Telephone 6062480737

Associated Practice Facility / Clinic

🏢 Arh Mary Breckinridge Health Services, Inc. Facility NPI 1962908277

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middlesboro, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +4.3 yrs vs City Avg

City Avg: 29.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Middlesboro, KY (1608 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Epperson (34 Years) 34 Yrs

Middlesboro Specialty Average (29.7 Years) 29.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	85	50	$61.19	$51.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	32	$96.70	$78.07
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	30	27	$89.00	$38.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	29	25	$126.00	$71.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	25	23	$30.00	$15.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	89	$61.55	$50.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	196	65	$126.00	$69.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	55	$87.86	$74.26
G0179 Physician re-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 to affirm the initial imp	31	13	$70.00	$38.19
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	21	$89.00	$37.47
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	21	15	$91.00	$48.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	94	$58.99	$50.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	104	52	$126.00	$63.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	64	$86.63	$74.71
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	98	50	$89.00	$40.41
G0179 Physician re-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 to affirm the initial imp	38	15	$70.00	$37.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	34	16	$40.00	$11.23
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$177.00	$88.74
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	13	$91.00	$48.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$191.00	$120.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	459	126	$76.41	$54.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	213	68	$89.00	$40.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	81	$111.68	$80.73
G0179 Physician re-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 to affirm the initial imp	54	23	$70.00	$37.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	36	$126.00	$63.54
99318 Nursing facility annual assessment, typically 30 minutes	24	24	$177.00	$89.90
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	23	15	$91.00	$48.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	824	173	$65.17	$49.41
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	284	63	$89.00	$42.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	50	$96.76	$74.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	43	$126.00	$67.05
G0179 Physician re-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 to affirm the initial imp	64	26	$70.00	$38.47
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	43	32	$91.00	$50.49
99318 Nursing facility annual assessment, typically 30 minutes	38	38	$177.00	$93.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$287.00	$161.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	976	199	$49.93	$48.77
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	320	79	$89.00	$42.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	105	$74.67	$72.43
G0179 Physician re-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 to affirm the initial imp	49	21	$70.00	$38.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	46	32	$89.00	$42.39
99318 Nursing facility annual assessment, typically 30 minutes	44	44	$177.00	$92.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	22	$126.00	$65.99
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	28	22	$91.00	$50.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$191.00	$109.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$287.00	$162.49
G0008 Administration of influenza virus vaccine	12	12	$41.00	$15.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	788	196	$49.20	$48.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	394	80	$89.00	$42.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	140	$73.88	$71.52
99213 Established patient office or other outpatient visit, typically 15 minutes	166	121	$49.20	$48.47
G0179 Physician re-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 to affirm the initial imp	56	20	$70.00	$38.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$72.80	$71.73
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	49	49	$287.00	$160.87
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	47	31	$91.00	$50.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	25	$126.00	$65.86
99318 Nursing facility annual assessment, typically 30 minutes	34	34	$177.00	$92.08
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$289.00	$159.73
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$40.00	$11.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,226	248	$49.26	$48.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	309	81	$89.00	$42.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	140	$73.21	$71.52
G0179 Physician re-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 to affirm the initial imp	59	23	$70.00	$38.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	32	$126.00	$65.23
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	54	40	$91.00	$49.87
99318 Nursing facility annual assessment, typically 30 minutes	25	25	$177.00	$91.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$287.00	$159.35
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	13	$228.00	$123.77

Medical Specialties & State Licenses

CMS Verified: 2026-08-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 31838

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64318389 (KY)

Commercial Insurance / Payer ID Blue Cross Blue Shield

000000051294 (KY)

Hospital & Practice Group Affiliations

Arh Mary Breckinridge Health Services Inc

3504 W Cumberland Ave, Middlesboro, KY 409652612

Phone: 6062480737

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Richard Calhoun , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1043653041

Doctor of Podiatric Medicine

John Williams , APRN

Nurse Practitioner - Family

NPI 1184131419

Advanced Practice Registered Nurse

Kristy Smith , APRN

Nurse Practitioner - Family

NPI 1427600790

Advanced Practice Registered Nurse

Katlyn Barnwell , PA

Physician Assistant

NPI 1437036191

Physician Assistant

Dr. Jacob Jones , MD

Family Medicine

NPI 1467149930

Doctor of Medicine (M.D.)

Dr. Maria Hortillosa , MD

Family Medicine

NPI 1629004015

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 07, 2026

Registered at 3504 CUMBERLAND AVE, MIDDLESBORO, KY 409652612 (Tel: 6062480737)

📍

Updated Business Mailing Address August 07, 2026

Registered at 3504 CUMBERLAND AVE, MIDDLESBORO, KY 409652612 (Tel: 6062480737)

✅

NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2011

Registered at 3004 CUMBERLAND AVE, MEDICAL ARTS BLDG, MIDDLESBORO, KY 409652343 (Tel: 6062483324)

📍

Updated Business Mailing Address October 18, 2011

Registered at 3004 CUMBERLAND AVE, MEDICAL ARTS BLDY, MIDDLESBORO, KY 409652343 (Tel: 6062483324)

👤

Provider Name / Credentials Updated October 18, 2011

Recorded as THOMAS EPPERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Internal Medicine (License #31838 in KY)

🟢

Initial NPI Registration & Enumeration November 09, 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: 1184605966

Entity Type:

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

Enumeration Date: November 09, 2005

Last Update: August 07, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3504 Cumberland Ave

Middlesboro, KY 409652612

Phone: 6062480737

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.