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

WATAUGA ORTHOPAEDICS PLC
NPI 1245251404
Orthopaedic Surgery in Johnson City, TN

Active since July 22, 2006
2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011(423) 282-0035 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2024, Dec 9, 2019, Nov 27, 2019 (3 updates tracked since 2019).

About Watauga Orthopaedics Plc NPPES

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

WATAUGA ORTHOPAEDICS PLC (NPI 1245251404) is a healthcare organization registered as an orthopaedic surgery in Johnson City, Tennessee and active in the NPI registry since July 2006. The organization lists Katherine Elizabeth Lyons, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1245251404
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameWATAUGA ORTHOPAEDICS PLC
Location Address2410 SUSANNAH STJohnson City, TN 37601-1765
Mailing Address2410 Susannah StJohnson City, TN 37601-1765 · (423) 282-9011 · Fax (423) 282-0035
Phone(423) 282-9011
Fax(423) 282-0035
Organization SubpartNo
Authorized OfficialKatherine Elizabeth LyonsCredentialing Specialist · (423) 282-9011
Enumeration DateJuly 22, 2006
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1245251404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 18545
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ANP18364 (TN)
2410 SUSANNAH ST, Johnson City, TN 37601
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Watauga Orthopaedics Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Watauga Orthopaedics Plc, which bills Medicare for the services they deliver. Of these, 38 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Physical Therapist in Private Practice29
Orthopedic Surgery22
Nurse Practitioner5
Occupational Therapist in Private Practice4
Anesthesiology1
Family Practice1
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 63
Alan Aiken, DO
Orthopedic Surgery
NPI 1437565074
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Marc Aiken, MD
Orthopedic Surgery
NPI 1558327395
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Ryne Baines, OTR/L
Occupational Therapist in Private Practice
NPI 1730879982
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 213-2772
✔ Accepts MedicareSame address
Everett Baker, NURSE PRACTITIONER
Nurse Practitioner
NPI 1154746261
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Whitney Belt, PT
Physical Therapist in Private Practice
NPI 1275581316
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ Accepts MedicareSame address
Jalen Bridwell, DPT
Physical Therapist in Private Practice
NPI 1861025744
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ Accepts MedicareSame address
Garrison Brown
Nurse Practitioner
NPI 1275475576
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Zachary Casey, DPT
Physical Therapist in Private Practice
NPI 1609522325
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 722-0267
✔ Accepts MedicareSame address
Gregory Cross, PT
Physical Therapist in Private Practice
NPI 1134346786
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ Accepts MedicareSame address
Robert Detroye, MD
Orthopedic Surgery
NPI 1437114956
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Donna Dougherty, PT
Physical Therapist in Private Practice
NPI 1508623620
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ Accepts MedicareSame address
Parker Duncan
Orthopedic Surgery
NPI 1477916799
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Richard Duncan, MD
Orthopedic Surgery
NPI 1003871195
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Madison Ellison, FNP
Nurse Practitioner
NPI 1871293613
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Thomas Gill, MD
Orthopedic Surgery
NPI 1326307687
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Mark Mcquain, MD
Physical Medicine and Rehabilitation
NPI 1316902620
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Jessica Seagroves, FNP
Nurse Practitioner
NPI 1790469575
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Jordan Shelburne, FNP
Nurse Practitioner
NPI 1083202725
2410 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ PECOS✔ Accepts MedicareSame address
Benjamin Mccurry
Occupational Therapist in Private Practice
NPI 1457927675
2412 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
✔ Accepts MedicareSame address
Mary Mosby, OT
Occupational Therapist in Private Practice
NPI 1285438267
2412 SUSANNAH ST
Johnson City, TN 37601
(423) 282-9011
Same address
See all 63 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Watauga Orthopaedics Plc carries, from the Medicare DMEPOS supplier directory.

Watauga Orthopaedics Plc

DMEPOS supplier · Johnson City, TN
✔

Accepts Medicare assignment

Watauga Orthopaedics Plc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20669255
Medicare Participant SinceJanuary 1, 1995
Supplier Location2410 Susannah StJohnson City, TN 37601
Phone(423) 282-9011
Provider TypePhysician – Orthopedic/Orthopedic Surgery · Independently-Practicing Physical Therapist
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Watauga Orthopaedics Plc's NPI number?

The NPI number for Watauga Orthopaedics Plc is 1245251404. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Watauga Orthopaedics Plc located?

Watauga Orthopaedics Plc is located at 2410 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 282-9011.

What is Watauga Orthopaedics Plc's specialty?

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

Is Watauga Orthopaedics Plc enrolled in Medicare?

Yes. Watauga Orthopaedics Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Watauga Orthopaedics Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 7 Medicare specialties reassign their Medicare billing to Watauga Orthopaedics Plc. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (29), Orthopedic Surgery (22) and Nurse Practitioner (5). Of these, 38 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Watauga Orthopaedics Plc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Watauga Orthopaedics Plc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Watauga Orthopaedics Plc accept?

Health plans from Cigna Healthcare list Watauga Orthopaedics Plc 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.

When was this NPI record last updated?

The NPPES record for Watauga Orthopaedics Plc was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.