TANDER LEE SIMBERLOFF MD
NPI 1083243083
Internal Medicine in Johnson City, TN

Q: What is Tander Simberloff's NPI number?

The NPI number for Tander Simberloff is 1083243083. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Tander Simberloff's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Tander Simberloff was last updated on November 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 April 02, 2020PECOS EnrolledAccepts Medicare Assignment

3 PROFESSIONAL PARK DR STE 31, JOHNSON CITY, TN 37604(423) 424-3570(423) 631-0544 Get Directions Write a Review

NPPES record last updated: November 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2024, Jun 30, 2024, Jun 20, 2024 and 1 more (4 updates tracked since 2020).

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About Tander Lee Simberloff Md NPPES

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

TANDER LEE SIMBERLOFF MD (NPI 1083243083) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Rhode Island (CMD19197) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1083243083

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameTANDER LEE SIMBERLOFFCredential: MD

Location Address3 PROFESSIONAL PARK DR STE 31Johnson City, TN 37604-6529

Mailing Address3 Professional Park Dr Ste 31Johnson City, TN 37604-6529 · (423) 434-3570 · Fax (423) 631-0544

Phone(423) 424-3570

Fax(423) 631-0544

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateNovember 28, 20244 updates tracked since enumeration

NPPES CertifiedNovember 28, 2024

✔ NPI 1083243083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in RI · CMD19197✔ Licensed in TN · 71817

Definition

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.

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 71817 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3 PROFESSIONAL PARK DR STE 31, Johnson City, TN 37604

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Secondary Practice Locations 5

Location 1400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111

Location 2325 N State Of Franklin Rd Fl 2Johnson City, TN 37604-6092 · Phone (423) 433-6757

Location 34 Sheridan Sq Ste 200Kingsport, TN 37660-7435 · Phone (423) 246-7931

Location 42202 N John B Dennis Hwy Ste 110Kingsport, TN 37660-5904 · Phone (423) 578-8400

Location 51 Medical Park Blvd Ste 210EBristol, TN 37620-7468 · Phone (423) 844-5500

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

Tander Lee Simberloff 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 ID9830519909

PECOS Enrollment IDI20241125002206

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

Medicare enrollment records show Tander Simberloff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Education Assistance Corporation

2.5 mi

Internal Medicine

101 MED TECH PKWY STE 306
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
341 clinicians in this Medicare group

NPI 1235180480 (423) 433-6039

Wps Providers Inc

19 mi

General Practice

130 W RAVINE RD
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
81 clinicians in this Medicare group

NPI 1003904095 (423) 224-4000

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

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 7

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

MIRANDA ELIZABETH LEDFORD PA

Physician Assistant