CHARLES G SEWALL M.D.
NPI 1750374476
Otolaryngology - Plastic Surgery within the Head & Neck in Oak Ridge, TN


Quality Rating: 75 out of 100 score

NPI Status: Active since August 28, 2005

Contact Information

800 OAK RIDGE TPKE
SUITE C-100
OAK RIDGE, TN
ZIP 37830
Phone: (865) 483-2288
Fax: (865) 482-4400

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  • Individual
  • Male
  • Otolaryngology
  • Plastic Surgery within the Head & Neck
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About CHARLES SEWALL

This page provides the complete NPI Profile along with additional information for Charles Sewall, a provider established in Oak Ridge, Tennessee with a medical specialization in Otolaryngology, focusing in plastic surgery within the head & neck . The healthcare provider is registered in the NPI registry with number 1750374476 assigned on August 2005. The practitioner's primary taxonomy code is 207YX0007X with license number 021441 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1750374476
Provider Name
CHARLES G SEWALL M.D.
Gender
Male
Entity Type
Individual
Location Address
800 OAK RIDGE TPKE SUITE C-100 OAK RIDGE, TN 37830
Location Phone
(865) 483-2288
Location Fax
(865) 482-4400
Mailing Address
800 OAK RIDGE TPKE SUITE C-100 OAK RIDGE, TN 37830
Mailing Phone
(865) 483-2288
Mailing Fax
(865) 482-4400
Is Sole Proprietor?
No
Enumeration Date
08-28-2005
Last Update Date
05-17-2023
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Location Map

Secondary Locations

  • 1855 Tanner Way Ste 130
    Harriman, TN 37748
    (865) 882-1600
  • 49 Cleveland St Ste 300
    Crossville, TN 38555
    (931) 456-1550
  • 109 Independence Ln Ste 500
    LA Follette, TN 37766
    (423) 562-9744

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Plastic Surgery within the Head & Neck

Taxonomy Code
207YX0007X
Type
Allopathic & Osteopathic Physicians
License No.
021441
License State
TN
Taxonomy Description
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207YX0007XAllopathic & Osteopathic Physicians

Otolaryngology
Plastic Surgery within the Head & Neck

28475 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze CMS Standard - EPO
  • Connect Gold CMS Standard - EPO
  • Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Silver 2875 Indiv Med Deductible - EPO
  • Connect Silver 3825 Indiv Med Deductible - EPO
  • Connect Silver CMS Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
62089728903OTHER (01)TNUHC RIVER VALLEY
000000252844OTHER (01)KYANTHEM BLUE CROSS
100020676OTHER (01)TNPHP TENNCARE
3059927MEDICAID (05)TN 
620897289002OTHER (01)KYBLUEGRASS
4666257OTHER (01)TNAETNA
C10003OTHER (01)KYCUMBERLAND HEALTHCARE
64799125MEDICAID (05)KY 
3028800OTHER (01)TNBLUE CROSS BLUE SHIELD
4532OTHER (01)KYCHA

Medicare Participation & PECOS Enrollment Status

Charles Sewall is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy or removal of nasal polyp or tissue using an endoscope

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

This service was performed 24 times for 12 patients

Ct scan of face without contrast

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

This service was performed 38 times for 37 patients

Diagnostic exam of nasal passages using an endoscope

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

This service was performed 73 times for 58 patients

Diagnostic exam of voice box using a flexible endoscope

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

This service was performed 53 times for 51 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 115 times for 85 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 392 times for 290 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 157 times for 121 patients

Exam of ear using a microscope

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

This service was performed 259 times for 184 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 59 times for 53 patients

Injection, methylprednisolone acetate, 80 mg

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

This service was performed 81 times for 37 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 95 times for 17 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 174 times for 174 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 77 times for 77 patients

Professional service for multiple injections of allergen

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

This service was performed 1,121 times for 33 patients

Professional service for preparation and provision of 1 or more antigens

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

This service was performed 2,595 times for 78 patients

Professional service for single injection of allergen

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

This service was performed 940 times for 35 patients

Simple control of nose bleed

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

This service was performed 15 times for 12 patients

Test for allergy using allergenic extract

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

This service was performed 1,024 times for 32 patients

Test for allergy using allergenic extract injected into skin

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

This service was performed 634 times for 32 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 75 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: N/A

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Documentation of Current Medications in the Medical Record 96% 2335
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 99% 1396
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Medication Reconciliation 87% 3754
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 37% 2718
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 32% 961
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 44% 1906
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95% 593
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 79% 2718
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750374476
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100678414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 7 + 8 + 4 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750374476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639177967DR. GEORGE EDWARD SMITH M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)800 OAK RIDGE TPKE SUITE A-200
OAK RIDGE, TN 37830
(865) 483-2299
1326031071 JOHN F JERNIGAN M.D.
Individual
Otolaryngology (Plastic Surgery within the Head & Neck)800 OAK RIDGE TPKE SUITE C-100
OAK RIDGE, TN 37830
(865) 423-8822
1003804808DR. PAUL J GURECKI MD
Individual
Psychiatry & Neurology (Neurology)800 OAK RIDGE TPKE SUITE C-260
OAK RIDGE, TN 37830
(865) 813-0300
1558339002 ANDREW C MORGAN P.A.
Individual
Physician Assistant800 OAK RIDGE TPKE SUITE A300
OAK RIDGE, TN 37830
(865) 482-2129
1598733958MRS. DAVINA S BLAZER PA-C
Individual
Physician Assistant800 OAK RIDGE TPKE SUITE A300
OAK RIDGE, TN 37830
(865) 482-2129
1093753733PHYSIOTHERAPY ASSOCIATES INC
Organization
Clinic/Center (Physical Therapy)800 OAK RIDGE TPKE SUITE C102
OAK RIDGE, TN 37830
(865) 483-7790
1871505495DR. MICHAEL JOSEPH DIMEO MD
Individual
Internal Medicine (Pulmonary Disease)800 OAK RIDGE TPKE JACKSON PLAZA SUITE C-200
OAK RIDGE, TN 37830
(865) 483-3594
1982716262 JEFFREY W PERKETT P.T.A
Individual
Physical Therapy Assistant800 OAK RIDGE TPKE C102
OAK RIDGE, TN 37830
(865) 425-7576
1356422216 MICHAEL LEE IRWIN PT
Individual
Physical Therapist800 OAK RIDGE TPKE C 102
OAK RIDGE, TN 37830
(865) 483-7790
1205990827MR. GYLES DONALD RUSSELL PT
Individual
Specialist800 OAK RIDGE TPKE SUITE C 102
OAK RIDGE, TN 37830
(865) 483-7790
1700068384 KATHERINE RAU KERCHNER MD
Individual
Dermatology800 OAK RIDGE TPKE SUITE A-300; JACKSON PLAZA
OAK RIDGE, TN 37830
(865) 482-2129
1770751216TENNESSEE UROLOGY ASSOCIATES, PLLC
Organization
Urology800 OAK RIDGE TPKE SUITE A101
OAK RIDGE, TN 37830
(865) 483-1093
1477725661 HEATHER BALES MA,CCC/A
Individual
Audiologist800 OAK RIDGE TPKE SUITE C-101
OAK RIDGE, TN 37830
(865) 482-1086
1427220615 JANET EDWARDS AU.D.
Individual
Audiologist800 OAK RIDGE TPKE SUITE C-101
OAK RIDGE, TN 37830
(865) 482-1086
1588836795 HALEY WRIGHT MA, CCC/A
Individual
Audiologist800 OAK RIDGE TPKE SUITE C-101
OAK RIDGE, TN 37830
(865) 482-1086
1710145537DERMATOLOGY ASSOC.OF OAK RIDGE,PC
Organization
Nurse Practitioner800 OAK RIDGE TPKE SUITE A-300
OAK RIDGE, TN 37830
(865) 813-1009
1992717599EAST TENNESSEE PULMONARY ASSOCIATES PC
Organization
Internal Medicine (Pulmonary Disease)800 OAK RIDGE TPKE JACKSON PLAZA SUITE C-200
OAK RIDGE, TN 37830
(865) 483-3594
1427394220FRANCES L. CROSS, MD, PLLC
Organization
Surgery (Vascular Surgery)800 OAK RIDGE TPKE SUITE A200
OAK RIDGE, TN 37830
(865) 227-0501
1457351496DR. STUART E CHASAN M.D.
Individual
Urology800 OAK RIDGE TPKE SUITE A-101
OAK RIDGE, TN 37830
(865) 483-1093
1679694640 BRANDON COTTRELL MD
Individual
Urology800 OAK RIDGE TPKE OAK RIDGE UROLOGY SUITE A101
OAK RIDGE, TN 37830
(865) 483-1093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750374476, enumerated in the NPI registry as an "individual" on August 28, 2005

The provider is located at 800 Oak Ridge Tpke Suite C-100 Oak Ridge, Tn 37830 and the phone number is (865) 483-2288

The provider's speciality is Otolaryngology with taxonomy code 207YX0007X with a focus in Plastic Surgery within the Head & Neck

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Biopsy or removal of nasal polyp or tissue using an endoscope, Ct scan of face without contrast, Diagnostic exam of nasal passages using an endoscope, Diagnostic exam of voice box using a flexible endoscope, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Exam of ear using a microscope, Injection of drug or substance under skin or into muscle, Injection, methylprednisolone acetate, 80 mg, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Professional service for multiple injections of allergen, Professional service for preparation and provision of 1 or more antigens, Professional service for single injection of allergen, Simple control of nose bleed, Test for allergy using allergenic extract and Test for allergy using allergenic extract injected into skin.

This NPI record was last updated on August 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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