1. Home
  2. Directory
  3. Tennessee
  4. Knoxville
  5. Family Medicine
  6. NPI Profile

DR. JAIRO ALFREDO FORTICH M.D.
NPI 1104867381
Family Medicine in Knoxville, TN

Active since June 09, 2006PECOS Enrolled
91.96/100
CMS Quality Rating
140 MARKET PLACE BLVD STE E, KNOXVILLE, TN 37922(865) 212-2211(833) 314-0589 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2021, Apr 15, 2021, Mar 3, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Jairo Alfredo Fortich M.d. NPPES

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

DR. JAIRO ALFREDO FORTICH M.D. (NPI 1104867381) is an individual family medicine provider in Knoxville, Tennessee, licensed in Tennessee (40307) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104867381
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAIRO ALFREDO FORTICHCredential: M.D.
Location Address140 MARKET PLACE BLVD STE EKnoxville, TN 37922-2337
Mailing Address140 Market Place Blvd Ste EKnoxville, TN 37922-2337 · (865) 212-2211 · Fax (833) 314-0589
Phone(865) 212-2211
Fax(833) 314-0589
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 23, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1104867381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 40307
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 40307 (TN)
140 MARKET PLACE BLVD STE E, Knoxville, TN 37922
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jairo Alfredo Fortich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Jairo Fortich reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metro Family Care, LLC
0.1 mi
Family Medicine
152 MARKET PLACE BLVD BLDG F
Knoxville, TN 37922
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1659716934 (865) 212-2211
App Of Tennessee Ed, PLLC
13 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211
Emergency Coverage, LLC
51 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
App Of Tennessee Hm, PLLC
135 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Southeastern Emergency Physicians LLC
189 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
320 services298 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
79 services79 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 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
$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.

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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.1
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%176 patients4/55-star benchmark: 100%
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 3

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

METRO URGENT CARE LLC
Family Medicine
140 MARKET PLACE BLVD STE E
KNOXVILLE, TN 37922
Knox County (865) 212-2211
SUSAN T. HICKS FNP
Nurse Practitioner (Family)
140 MARKET PLACE BLVD STE E
KNOXVILLE, TN 37922
Knox County (865) 212-2211
DAVID A NEAL LCSW
Social Worker (Clinical)
140 MARKET PLACE BLVD STE E
KNOXVILLE, TN 37922
Knox County (865) 212-2211

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 Jairo Fortich's NPI number?

The NPI number for Jairo Fortich is 1104867381. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Jairo Fortich located?

Jairo Fortich practices at 140 Market Place Blvd Ste E, Knoxville, TN 37922. The listed phone number is (865) 212-2211.

What is Jairo Fortich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jairo Fortich enrolled in Medicare?

Yes. Jairo Fortich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jairo Fortich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jairo Fortich reassigns Medicare benefits to 5 organizations: Metro Family Care, LLC (Knoxville, TN), App Of Tennessee Ed, PLLC (Maryville, TN), Emergency Coverage, LLC (Newport, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). 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 Jairo Fortich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jairo Fortich was last updated on September 23, 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.