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LEE ROBERT DILWORTH MD
NPI 1043209844
Internal Medicine - Cardiovascular Disease in Knoxville, TN

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
1819 W CLINCH AVE, SUITE 108, KNOXVILLE, TN 37916(865) 546-5111(865) 541-4018 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lee Robert Dilworth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE ROBERT DILWORTH MD (NPI 1043209844) is an individual cardiovascular disease provider in Knoxville, Tennessee, licensed in Tennessee (MD0000016893) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of University Of Cincinnati College Of Medicine (1980).

NPPES Registry Identity

NPI1043209844
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameLEE ROBERT DILWORTHCredential: MD
Location Address1819 W CLINCH AVE, SUITE 108Knoxville, TN 37916-2434
Mailing Address1819 W Clinch Ave, Suite 108Knoxville, TN 37916-2434 · (865) 546-5111 · Fax (865) 541-4018
Phone(865) 546-5111
Fax(865) 541-4018
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1980
Enumeration DateOctober 14, 2005
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1043209844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · MD0000016893
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD0000016893 (TN)
1819 W CLINCH AVE, Knoxville, TN 37916
Open in Google Maps ↗

Other Identifiers 2

Medicaid3860111TN
MedicaidQ16895SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lee Robert Dilworth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608974787
PECOS Enrollment IDI20070613000634
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lee Dilworth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knoxville Heart Group, Inc.
Same address
Cardiovascular Disease
1819 W CLINCH AVE, SUITE 108
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 24 clinicians in this Medicare group
NPI 1710218508 (865) 546-5111
Fort Sanders Regional Medical Center
Same address
General Acute Care Hospital
1901 W CLINCH AVE
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 28 clinicians in this Medicare group
NPI 1942294814 (865) 374-3000
Leconte Medical Center
24 mi
General Acute Care Hospital
742 MIDDLE CREEK RD
Sevierville, TN 37862
  • Reassigned Medicare billing, Tennessee enrollment
  • 13 clinicians in this Medicare group
NPI 1528052578 (865) 429-6100
Morristown Hamblen Hospital Association
39 mi
Psychiatric Unit
908 W 4TH NORTH ST
Morristown, TN 37814
  • Reassigned Medicare billing, Tennessee enrollment
  • 9 clinicians in this Medicare group
NPI 1477602860 (423) 586-4231

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
258 services200 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
95 services95 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
83 services72 patients
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272
An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.
22 services22 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
20 services20 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSHUA WEBER TODD M.D.
Internal Medicine (Interventional Cardiology)
1819 W CLINCH AVE, SUITE 108
KNOXVILLE, TN 37916
Knox County (865) 546-5111
JAMES B RIVERS JR. MD
Internal Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Knox County (865) 524-1631
GEORGE ANDREW ADAMS M.D.
Internal Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Knox County (865) 524-1631
MR. JOEL EDWARD NORMAN MD
Neurological Surgery
1819 W CLINCH AVE, SUITE 214
KNOXVILLE, TN 37916
Knox County (865) 541-2835
MUHAMMED IQBAL MD
Internal Medicine (Gastroenterology)
1819 W CLINCH AVE, SUITE 212
KNOXVILLE, TN 37916
Knox County (865) 523-6418
WILLIAM R JOHNSON JR. MD
Family Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Knox County (865) 524-1631
KELLY L BAKER MD
Family Medicine
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Knox County (865) 524-1631
LORI A. WILKERSON FNP
Nurse Practitioner (Family)
1819 W CLINCH AVE, SUITE 114
KNOXVILLE, TN 37916
Knox County (865) 524-1631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Dilworth's NPI number?

The NPI number for Lee Dilworth is 1043209844. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Lee Dilworth located?

Lee Dilworth practices at 1819 W Clinch Ave Suite 108, Knoxville, TN 37916. The listed phone number is (865) 546-5111.

What is Lee Dilworth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lee Dilworth enrolled in Medicare?

Yes. Lee Dilworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lee Dilworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Dilworth reassigns Medicare benefits to 4 organizations: Knoxville Heart Group, Inc. (Knoxville, TN), Fort Sanders Regional Medical Center (Knoxville, TN), Leconte Medical Center (Sevierville, TN) and Morristown Hamblen Hospital Association (Morristown, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lee Dilworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Dilworth accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Lee Dilworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lee Dilworth affiliated with any hospitals?

According to CMS data, Lee Dilworth is affiliated with Morristown Hamblen Hospital Association and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lee Dilworth was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.