DR. REBECCA S LAVELLE M.D.
NPI 1104099662
Urology in Maryville, TN

Active since April 04, 2008PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
425 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 980-5260(865) 980-5261 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2023, Aug 22, 2018 (2 updates tracked since 2018).

About Dr. Rebecca S Lavelle M.d. NPPES

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

DR. REBECCA S LAVELLE M.D. (NPI 1104099662) is an individual urology provider in Maryville, Tennessee, licensed in Tennessee (MD0000053291) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Michigan State University College Of Human Medicine (2008).

NPPES Registry Identity

NPI1104099662
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. REBECCA S LAVELLECredential: M.D.
Location Address425 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(865) 980-5261
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2008
Enumeration DateApril 4, 2008
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1104099662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TN · MD0000053291
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
425 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

Other Identifiers 1

MedicaidQ019290TN

Accepted 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. Rebecca S Lavelle M.d. 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 ID1951602952
PECOS Enrollment IDI20181016003998
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 16

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,500 services26 patients
Injection, heparin sodium, per 1000 units J1644
Heparin sodium injection is a blood-thinning medication given to prevent blood clots. It's administered in units, with each dose tailored to your needs. This service refers to the administration of 1000 units of this medication.
1,342 services24 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.
584 services319 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
446 services302 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
236 services206 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
131 services131 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers53 claims7,140 services$1.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Urology
425 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
425 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Urology
425 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Urology
425 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Urology
425 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

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 Rebecca Lavelle's NPI number?

The NPI number for Rebecca Lavelle is 1104099662. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Where is Rebecca Lavelle located?

Rebecca Lavelle practices at 425 Bmh Physicians Office Bldg, Maryville, TN 37804. The listed phone number is (865) 980-5260.

What is Rebecca Lavelle's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Rebecca Lavelle enrolled in Medicare?

Yes. Rebecca Lavelle 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 Rebecca Lavelle accept?

Health plans from BlueCross BlueShield of Tennessee list Rebecca Lavelle 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 Rebecca Lavelle affiliated with any hospitals?

According to CMS data, Rebecca Lavelle is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Lavelle was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.