1. Home
  2. Directory
  3. Tennessee
  4. Sevierville
  5. Orthopaedic Surgery
  6. NPI Profile

DR. DAVID R ROBINS SR. D.O.
NPI 1093882250
Orthopaedic Surgery in Sevierville, TN

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
629 MIDDLE CREEK RD, SEVIERVILLE, TN 37862(865) 774-4440(865) 374-2162 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2021, Feb 24, 2020, Sep 20, 2016 (3 updates tracked since 2016).

About Dr. David R Robins Sr. D.o. NPPES

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

DR. DAVID R ROBINS SR. D.O. (NPI 1093882250) is an individual orthopaedic surgery provider in Sevierville, Tennessee, licensed in Tennessee (DO01701) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Leconte Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093882250
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DAVID R ROBINS SR.Credential: D.O.
Location Address629 MIDDLE CREEK RDSevierville, TN 37862-5014
Mailing Address101 Glenleigh CtKnoxville, TN 37934-3052 · (865) 888-4721 · Fax (865) 671-0036
Phone(865) 774-4440
Fax(865) 374-2162
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1993
Enumeration DateNovember 30, 2006
Last NPPES UpdateJanuary 18, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1093882250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TN · DO01701✔ Licensed in TN · 1701
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
629 MIDDLE CREEK RD, Sevierville, TN 37862
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 Glenleigh CtKnoxville, TN 37934-3052 · Phone (865) 888-4721 · Fax (865) 671-0036
Location 2627 Congress Pkwy SAthens, TN 37303-2259 · Phone (423) 507-5885 · Fax (423) 649-2963

Other Identifiers 1

Medicaid3300026TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David R Robins Sr. D.o. 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 ID8123056272
PECOS Enrollment IDI20071210000633
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.

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 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.
117 services58 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
53 services28 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.
48 services48 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
32 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
19 services11 patients

Hospital Affiliations CMS Care Compare

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

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37862 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,003 patients5/55-star benchmark: 100%
Medication Reconciliation
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.
2%595 patients1/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
76%205 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%2,053 patients5/55-star benchmark: 100%
Patient-Specific Education
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.
97%1,257 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
97%1,065 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
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
96%166 patients4/55-star benchmark: 100%
Provide Patient Access
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…
95%1,257 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
98%61 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

COVENANT MEDICAL GROUP, INC
Durable Medical Equipment & Medical Supplies
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 774-4440
SUMMIT MEDICAL GROUP PLLC
Pediatrics
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 453-9980
SARAH KAMP NP
Nurse Practitioner (Pediatrics)
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 453-9980
JAMES DARYL JORDAN M.D.
Orthopaedic Surgery
629 MIDDLE CREEK RD
SEVIERVILLE, TN 37862
Sevier County (865) 774-4440

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 David Robins's NPI number?

The NPI number for David Robins is 1093882250. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is David Robins located?

David Robins practices at 629 Middle Creek Rd, Sevierville, TN 37862. The listed phone number is (865) 774-4440.

What is David Robins's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Robins enrolled in Medicare?

Yes. David Robins 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.

What insurance does David Robins accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list David Robins 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 David Robins affiliated with any hospitals?

According to CMS data, David Robins is affiliated with Leconte Medical Center.

When was this NPI record last updated?

The NPPES record for David Robins was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.