Active NPI 1689121121 Individual Practitioner Female Practitioner

Anna Poulos

Internal Medicine • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Anna Poulos is a registered healthcare professional specializing in Internal Medicine in Tyler, TX. Practice services are available at 2115 S BROADWAY AVE under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

2115 S Broadway Ave

Tyler, TX 757014214

Telephone 9039077002

Associated Practice Facility / Clinic

🏢 Oak Street Health Of Texas, Pllc Facility NPI 1497387419

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

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	54	47	$103.58	$54.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$239.14	$123.58

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	184	88	$102.78	$55.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$240.10	$128.46
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$138.37	$72.17
G0008 Administration of influenza virus vaccine	14	14	$31.67	$28.42
90662 Influenza vaccine split virus, preservative free	11	11	$128.84	$68.24

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	115	59	$88.88	$55.07
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$155.12	$71.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$221.80	$129.55
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$141.38	$86.46
36415 Insertion of needle into vein for collection of blood sample	29	27	$6.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	61	$143.99	$70.65
36415 Insertion of needle into vein for collection of blood sample	59	54	$6.00	$2.99
99442 Telephone medical discussion with physician, 11-20 minutes	42	38	$56.00	$55.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$218.62	$111.30
83036 Hemoglobin A1C level	20	20	$26.05	$9.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$84.80	$42.73
G0009 Administration of pneumococcal vaccine	17	17	$31.74	$15.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	11	$43.28	$21.78
G0008 Administration of influenza virus vaccine	17	17	$43.08	$15.73
90662 Influenza vaccine split virus, preservative free	14	14	$102.15	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	89	$141.38	$66.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	85	$207.15	$98.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$204.91	$97.05
36415 Insertion of needle into vein for collection of blood sample	63	51	$6.00	$2.94
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$144.69	$68.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$222.14	$105.12
G0009 Administration of pneumococcal vaccine	34	34	$44.63	$15.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$349.71	$155.49
G0008 Administration of influenza virus vaccine	29	29	$44.49	$15.55
90670 Pneumococcal vaccine for injection into muscle	25	25	$368.30	$207.71
90662 Influenza vaccine split virus, preservative free	19	19	$96.72	$54.34
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$32.01	$15.15
83036 Hemoglobin A1C level	13	13	$25.08	$10.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	95	$204.79	$75.72
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$135.30	$49.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	16	$22.00	$8.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	62	$206.17	$75.70
99213 Established patient office or other outpatient visit, typically 15 minutes	90	60	$133.20	$49.32
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	22	22	$22.00	$8.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$332.00	$125.57

Medical Specialties & State Licenses

CMS Verified: 2023-08-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX R8811

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TN 57800

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NY 175360

Secondary Practice Locations

3360 N Watkins St

Memphis, TN 381276432

Phone: 9014017150

3889 Park Ave

Memphis, TN 381116634

Phone: 9014017140

2360 Gus Thomasson Rd

Dallas, TX 752283005

Phone: 2143017071

4115 E Lancaster Ave

Fort Worth, TX 761033614

Phone: 8177967370

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Ashley Chou , MD

Internal Medicine

NPI 1033409297

Doctor of Medicine (M.D.)

Laura Moore , FNP-C

Nurse Practitioner - Family

NPI 1134786114

Family Nurse Practitioner (Certified)

Rebekah Serrato

Nurse Practitioner - Family

NPI 1164288932

Courtney Cooner , LCSW

Social Worker - Clinical

NPI 1174711220

Licensed Clinical Social Worker

Kelli Rollins , FNP

Nurse Practitioner - Family

NPI 1538608971

Family Nurse Practitioner

Lakimberely Wooten , APRN

Nurse Practitioner - Family

NPI 1538881503

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location August 09, 2023

Registered at 2115 S BROADWAY AVE, TYLER, TX 757014214 (Tel: 9039077002)

📍

Updated Business Mailing Address August 09, 2023

Registered at PO BOX 746079, ATLANTA, GA 303746079 (Tel: 3127339730)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Internal Medicine (License #57800 in TN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2020

Internal Medicine (License #R8811 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2020

Internal Medicine (License #175360 in NY)

📍

Updated Practice Location January 08, 2020

Registered at 3360 N WATKINS ST, MEMPHIS, TN 381276432 (Tel: 9014017150)

📍

Updated Practice Location December 04, 2019

Registered at 3889 PARK AVE, MEMPHIS, TN 381116634 (Tel: 9014017140)

📍

Updated Business Mailing Address December 04, 2019

Registered at 30 W MONROE ST STE 1200, CHICAGO, IL 606032420 (Tel: 3127339730)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Internal Medicine (License #57800 in TN)

✅

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2016

Registered at 624 MCCLELLAN ST, SUITE G02, SCHENECTADY, NY 123041020 (Tel: 5183822203)

📍

Updated Business Mailing Address September 01, 2016

Registered at 624 MCCLELLAN ST, SUITE G02, SCHENECTADY, NY 123041020 (Tel: 5183822203)

👤

Provider Name / Credentials Updated September 01, 2016

Recorded as ANNA POULOS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Internal Medicine (License #175360 in NY)

🟢

Initial NPI Registration & Enumeration September 01, 2016

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: 1689121121

Entity Type:

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

Enumeration Date: September 01, 2016

Last Update: August 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 746079

Atlanta, GA 303746079

Phone: 3127339730

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.