Active NPI 1538264064 Individual Practitioner Male Practitioner

Dr. David Gwaltney , MD

Surgery • Bristol, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Gwaltney, MD is a certified Surgery practicing in Bristol, TN. With approximately 48 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 1978, Dr. Gwaltney delivers high-quality medical care to the local community at 1 MEDICAL PARK BLVD.

Dr. Gwaltney is affiliated with State Of Franklin Healthcare Associates, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Blvd

Bristol, TN 376207430

Telephone 4238443919

Fax 4239750141

Associated Practice Facility / Clinic

🏢 Medical Mall Pharmacy Inc Facility NPI 1598768699

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bristol, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +23.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Bristol, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gwaltney (48 Years) 48 Yrs

Bristol Specialty Average (24.3 Years) 24.3 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	266	65	$89.72	$53.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	249	64	$75.30	$33.37
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	112	106	$58.52	$19.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	89	85	$106.22	$30.63
93923 Complete ultrasound study of arm and leg arteries	85	84	$47.60	$19.82
93880 Ultrasound of both sides of head and neck blood flow	70	70	$91.63	$35.24
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	26	$178.80	$20.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$185.00	$105.57
93880 Ultrasound of both sides of head and neck blood flow	19	19	$296.24	$36.03
93922 Ultrasound study of arm and leg arteries	18	18	$122.40	$11.16
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$98.00	$61.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$141.00	$77.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	777	130	$75.00	$32.76
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	147	141	$47.65	$19.69
93970 Ultrasound study of arm or leg veins with compression and maneuvers	132	131	$74.61	$30.78
93880 Ultrasound of both sides of head and neck blood flow	123	121	$84.19	$35.68
93923 Complete ultrasound study of arm and leg arteries	108	108	$47.00	$19.68
99213 Established patient office or other outpatient visit, typically 15 minutes	44	38	$98.00	$60.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$141.00	$69.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,029	162	$75.00	$34.41
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	162	157	$44.78	$20.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	152	146	$69.53	$32.36
93923 Complete ultrasound study of arm and leg arteries	132	130	$45.16	$20.87
93880 Ultrasound of both sides of head and neck blood flow	119	118	$80.88	$36.90
99213 Established patient office or other outpatient visit, typically 15 minutes	61	50	$98.00	$63.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$141.00	$79.31
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$98.00	$86.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$75.00	$53.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	878	132	$75.00	$34.19
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	138	138	$46.61	$20.93
93880 Ultrasound of both sides of head and neck blood flow	134	133	$83.77	$37.52
93923 Complete ultrasound study of arm and leg arteries	127	125	$46.08	$20.74
93970 Ultrasound study of arm or leg veins with compression and maneuvers	106	103	$71.57	$32.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	31	$75.00	$52.67
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$98.00	$63.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$141.00	$79.26
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$98.00	$85.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	998	153	$75.00	$24.83
93880 Ultrasound of both sides of head and neck blood flow	173	173	$88.00	$38.22
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	148	143	$49.00	$21.48
93923 Complete ultrasound study of arm and leg arteries	112	111	$48.00	$21.13
93970 Ultrasound study of arm or leg veins with compression and maneuvers	108	106	$75.00	$33.35
99213 Established patient office or other outpatient visit, typically 15 minutes	56	48	$98.00	$49.90
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$98.00	$71.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$141.00	$72.29
11042 Removal of skin and tissue, 20.0 sq cm or less	16	12	$360.00	$58.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$178.00	$125.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$75.00	$43.04
93922 Ultrasound study of arm and leg arteries	13	12	$27.00	$12.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,261	171	$75.00	$24.36
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	219	211	$60.29	$21.11
93880 Ultrasound of both sides of head and neck blood flow	216	212	$90.77	$37.90
93970 Ultrasound study of arm or leg veins with compression and maneuvers	161	156	$95.86	$32.67
99183 Management and supervision of oxygen chamber therapy per session	143	12	$200.00	$103.01
93923 Complete ultrasound study of arm and leg arteries	142	139	$59.85	$20.95
99213 Established patient office or other outpatient visit, typically 15 minutes	119	78	$98.00	$69.55
99213 Established patient office or other outpatient visit, typically 15 minutes	88	66	$98.00	$48.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$141.00	$72.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$83.00	$37.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$178.00	$155.67
11042 Removal of skin and tissue, 20.0 sq cm or less	19	15	$360.00	$57.62
93924 Ultrasound study of arteries of both legs at rest and exercise	17	17	$69.88	$22.25
93923 Complete ultrasound study of arm and leg arteries	11	11	$64.00	$21.31
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$102.00	$45.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,281	169	$75.00	$23.29
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	235	224	$62.93	$20.78
93923 Complete ultrasound study of arm and leg arteries	164	161	$62.86	$20.16
93880 Ultrasound of both sides of head and neck blood flow	145	143	$83.72	$37.04
93970 Ultrasound study of arm or leg veins with compression and maneuvers	138	135	$99.13	$31.15
99213 Established patient office or other outpatient visit, typically 15 minutes	104	76	$98.00	$66.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	45	$75.00	$39.59
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$98.00	$47.27
99202 New patient office or other outpatient visit, typically 20 minutes	46	45	$102.00	$45.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$178.00	$149.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	15	$83.00	$36.12
93924 Ultrasound study of arteries of both legs at rest and exercise	27	25	$69.78	$22.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$141.00	$70.01
93923 Complete ultrasound study of arm and leg arteries	17	17	$64.00	$20.30
93926 Ultrasound of one leg arteries or artery grafts	15	12	$70.00	$21.30
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$360.00	$57.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,052	132	$75.00	$23.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	264	244	$62.00	$20.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	223	84	$83.00	$37.00
93970 Ultrasound study of arm or leg veins with compression and maneuvers	179	175	$98.00	$32.02
93880 Ultrasound of both sides of head and neck blood flow	167	166	$83.00	$37.11
93923 Complete ultrasound study of arm and leg arteries	163	159	$62.00	$20.44
99213 Established patient office or other outpatient visit, typically 15 minutes	91	67	$98.00	$68.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	72	$288.00	$189.28
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$98.00	$47.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	37	$75.00	$40.35
93923 Complete ultrasound study of arm and leg arteries	26	26	$64.00	$21.26
93924 Ultrasound study of arteries of both legs at rest and exercise	25	25	$69.00	$21.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$141.00	$69.51
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$102.00	$47.71
11042 Removal of skin and tissue, 20.0 sq cm or less	18	13	$360.00	$56.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$178.00	$152.91
93926 Ultrasound of one leg arteries or artery grafts	16	13	$69.00	$22.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$141.00	$99.96

Medical Specialties & State Licenses

CMS Verified: 2025-02-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 15402

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3008207 (TN)

Medicaid State Provider ID

7300140000 (WV)

Medicaid State Provider ID

7304692 (VA)

Commercial Insurance / Payer ID Champus Group

F03906748 (TN)

Commercial Insurance / Payer ID Black Lung Group

022276800 (TN)

Commercial Insurance / Payer ID Aetna

4546155 (TN)

Commercial Insurance / Payer ID Mcrailroad/group#ca8128

770000847 (TN)

Commercial Insurance / Payer ID John Deere Now United Hc

TN0102 (TN)

Commercial Insurance / Payer ID Bcbs Of Tennessee

2001924 (TN)

Commercial Insurance / Payer ID Indv Anthem/group #093410

027541 (TN)

Hospital & Practice Group Affiliations

State Of Franklin Healthcare Associates, Pllc

1 Medical Park Blvd, Bristol, TN 376207431

Phone: 4239750764

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Rebecca Odom , MD

Surgery

NPI 1093241598

Doctor of Medicine (M.D.)

Dr. Scott Watson , MD

Surgery

NPI 1497732929

Doctor of Medicine (M.D.)

Dr. Michael Hodge , MD

Surgery

NPI 1588641187

Doctor of Medicine (M.D.)

Janette Peterson , NP

Nurse Practitioner

NPI 1811983844

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location February 17, 2025

Registered at 1 MEDICAL PARK BLVD, BRISTOL, TN 376207430 (Tel: 4238443919)

📍

Updated Business Mailing Address February 17, 2025

Registered at PO BOX 632476, CINCINNATI, OH 452632476 (Tel: 4238443919)

📍

Updated Business Mailing Address January 30, 2025

Registered at 2333 KNOB CREEK RD STE 16, JOHNSON CITY, TN 376042007 (Tel: 4239750764)

📍

Updated Business Mailing Address October 15, 2024

Registered at PO BOX 3889, JOHNSON CITY, TN 376023889 (Tel: 4238443919)

✅

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2016

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376207430 (Tel: 4238446620)

📍

Updated Business Mailing Address July 25, 2016

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376207430 (Tel: 4238446620)

👤

Provider Name / Credentials Updated July 25, 2016

Recorded as DAVID GWALTNEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Surgery (License #15402 in TN)

🟢

Initial NPI Registration & Enumeration September 13, 2006

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: 1538264064

Entity Type:

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

Enumeration Date: September 13, 2006

Last Update: February 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 632476

Cincinnati, OH 452632476

Phone: 4238443919

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.