Active NPI 1770588741 Individual Practitioner Male Practitioner

Dr. Thomas Francis Boduch , MD

General Practice • Kingston, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Boduch, MD is a certified General Practice practicing in Kingston, TN. With approximately 47 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1979, Dr. Boduch delivers high-quality medical care to the local community at 314 E SPRING ST.

Dr. Boduch accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

314 E Spring St

Kingston, TN 377632839

Telephone 8653761212

Fax 8653760010

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kingston, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 34.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Kingston, TN (202 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

7.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boduch (47 Years) 47 Yrs

Kingston Specialty Average (47.0 Years) 47.0 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
36415 Insertion of needle into vein for collection of blood sample	140	95	$5.00	$4.90
99213 Established patient office or other outpatient visit, typically 15 minutes	129	87	$86.00	$83.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	70	$53.00	$51.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$140.00	$118.94
G0008 Administration of influenza virus vaccine	45	45	$33.82	$29.77
90662 Influenza vaccine split virus, preservative free	42	42	$83.62	$81.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$123.00	$117.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	176	120	$5.00	$4.90
99213 Established patient office or other outpatient visit, typically 15 minutes	162	96	$86.00	$83.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	82	$53.00	$52.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$140.00	$119.27
G0008 Administration of influenza virus vaccine	56	56	$29.96	$28.42
90662 Influenza vaccine split virus, preservative free	55	55	$68.00	$66.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$123.00	$118.35
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$28.00	$13.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	200	125	$5.00	$2.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	101	$53.00	$52.48
99213 Established patient office or other outpatient visit, typically 15 minutes	130	88	$86.00	$84.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$140.00	$122.29
G0008 Administration of influenza virus vaccine	63	63	$27.90	$27.07
90662 Influenza vaccine split virus, preservative free	59	59	$66.00	$64.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$123.00	$120.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	223	131	$5.00	$3.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	181	95	$52.45	$52.14
99213 Established patient office or other outpatient visit, typically 15 minutes	171	111	$84.42	$84.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$140.00	$124.63
G0008 Administration of influenza virus vaccine	70	70	$22.00	$15.75
90662 Influenza vaccine split virus, preservative free	67	67	$64.82	$64.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$121.48	$120.85
81002 Urinalysis, manual test	21	16	$5.00	$3.48
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$69.00	$68.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	213	122	$5.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	177	102	$71.00	$70.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	104	$43.00	$42.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$140.00	$108.84
G0008 Administration of influenza virus vaccine	71	71	$22.00	$15.73
90662 Influenza vaccine split virus, preservative free	66	66	$61.00	$60.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	33	$104.00	$102.88
81002 Urinalysis, manual test	30	20	$5.00	$3.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	250	143	$5.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	236	140	$71.00	$69.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	208	111	$43.00	$41.93
90662 Influenza vaccine split virus, preservative free	78	78	$56.88	$54.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$140.00	$108.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	46	$104.00	$102.12
G0008 Administration of influenza virus vaccine	55	55	$27.00	$15.42
81002 Urinalysis, manual test	28	23	$5.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$28.00	$15.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	287	157	$5.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	265	131	$70.00	$66.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	231	118	$42.00	$39.62
90662 Influenza vaccine split virus, preservative free	105	105	$52.02	$50.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	44	$102.00	$98.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$140.00	$105.75
81002 Urinalysis, manual test	42	30	$5.00	$3.41
G0008 Administration of influenza virus vaccine	38	38	$26.00	$18.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	169	$70.10	$66.27
36415 Insertion of needle into vein for collection of blood sample	315	170	$5.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	214	113	$42.00	$39.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	77	$102.00	$97.74
G0008 Administration of influenza virus vaccine	93	93	$26.00	$23.26
90662 Influenza vaccine split virus, preservative free	87	87	$50.00	$47.34
81002 Urinalysis, manual test	51	29	$5.00	$3.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$140.00	$104.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$102.00	$97.32

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN MD0000014330

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TN 14330

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3004412 (TN)

Commercial Insurance / Payer ID Bluecross Blueshield Of Tennessee

0086951 (TN)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2012

Registered at 314 E SPRING ST, KINGSTON, TN 377632839 (Tel: 8653761212)

📍

Updated Business Mailing Address January 10, 2012

Registered at PO BOX 1030, KINGSTON, TN 377631030 (Tel: 8653761212)

👤

Provider Name / Credentials Updated January 10, 2012

Recorded as THOMAS BODUCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2012

Family Medicine (License #14330 in TN)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770588741

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: January 10, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1030

Kingston, TN 377631030

Phone: 8653761212

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.