ROBERT J WILMOTH MD
NPI 1073505962
Surgery in Tazewell, TN

Q: What is Robert Wilmoth's NPI number?

The NPI number for Robert Wilmoth is 1073505962. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Robert Wilmoth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Wilmoth was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

1610 TAZEWELL RD, SUITE 301, TAZEWELL, TN 37879(423) 626-4288(423) 626-1101 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Robert J Wilmoth Md NPPES

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

ROBERT J WILMOTH MD (NPI 1073505962) is an individual surgery provider in Tazewell, Tennessee, licensed in Tennessee (40079) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2001).

NPPES Registry Identity

NPI1073505962

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameROBERT J WILMOTHCredential: MD

Location Address1610 TAZEWELL RD, SUITE 301Tazewell, TN 37879

Mailing AddressPo Box 1349New Tazewell, TN 37825-1349 · (423) 626-4288 · Fax (423) 626-1101

Phone(423) 626-4288

Fax(423) 626-1101

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2001

Enumeration DateAugust 17, 2005

Last NPPES UpdateApril 15, 2010

✔ NPI 1073505962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TN · 40079✔ Licensed in KY · 39687

Definition

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.

1610 TAZEWELL RD, Tazewell, TN 37879

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Other Identifiers 5

Medicare PIN3337868TN

Medicare PINP00343345TN

Medicare PIN1968801KY

Medicare PINP00699674KY

Medicare UPINI51232

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Robert J Wilmoth 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 ID9931118569

PECOS Enrollment IDI20060728000132

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 Reassignment

Medicare enrollment records show Robert Wilmoth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preferred Surgical Associates

Same address

Surgery

1610 TAZEWELL RD, STE 301
Tazewell, TN 37879

Reassigned Medicare billing, Kentucky and Tennessee enrollments
2 clinicians in this Medicare group

NPI 1790043453 (423) 626-4288

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 12

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 low level od decision making, if using time, 20 minutes or more 99213

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.

190 services140 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

134 services24 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

46 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

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.

46 services46 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

37 services35 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

30 services30 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

27 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

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.

21 services18 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

20 services19 patients

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.

16 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

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

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN

OwnershipGovernment - Local

CMS Certification Number440057

Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37879 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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 11

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

GEORGE THOMPSON PA-C

Physician Assistant (Medical)

1610 TAZEWELL RD
TAZEWELL, TN 37879

Claiborne County (865) 588-8229

IDELLA JOHNSON PA-C

Physician Assistant

1610 TAZEWELL RD, SUITE 201
TAZEWELL, TN 37879

Claiborne County (423) 626-8393

CARROLL ROSE, MD

Surgery

1610 TAZEWELL RD, STE 301
TAZEWELL, TN 37879

Claiborne County (423) 626-4288

MRS. ELIZABETH RENEE MCNABB NP

Nurse Practitioner (Family)

1610 TAZEWELL RD, SUITE 202
TAZEWELL, TN 37879

Claiborne County (423) 626-2410

MR. CARROLL EVERETT ROSE MD

Surgery

1610 TAZEWELL RD, STE 301
TAZEWELL, TN 37879

Claiborne County (423) 626-4288

TONYA SHERELL APPERLEY PA-C

Physician Assistant

1610 TAZEWELL RD
TAZEWELL, TN 37879

Claiborne County (865) 588-8229

MULTISPECIALTY MEDICAL P.C.

Internal Medicine

1610 TAZEWELL RD, SE 201
TAZEWELL, TN 37879

Claiborne County (423) 626-8393

WOMEN'S HEALTH CENTER & PRIMARY CARE

Obstetrics & Gynecology

1610 TAZEWELL RD, STE 202
TAZEWELL, TN 37879

Claiborne County (423) 626-2410

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 Robert Wilmoth's NPI number?

The NPI number for Robert Wilmoth is 1073505962. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Robert Wilmoth located?

Robert Wilmoth practices at 1610 Tazewell Rd Suite 301, Tazewell, TN 37879. The listed phone number is (423) 626-4288.

What is Robert Wilmoth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Wilmoth enrolled in Medicare?

Yes. Robert Wilmoth 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 organization bills Medicare for Robert Wilmoth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Wilmoth reassigns Medicare benefits to Preferred Surgical Associates (Tazewell, TN). The 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 Robert Wilmoth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Wilmoth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee and 3 other insurers list Robert Wilmoth 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 Robert Wilmoth affiliated with any hospitals?

According to CMS data, Robert Wilmoth is affiliated with Middlesboro Arh Hospital, Ephraim Mcdowell Regional Medical Center, Morristown Hamblen Hospital Association and Claiborne Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Wilmoth was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.