KRISTEN LYNN PLOETZE M.D.
NPI 1245644228
Orthopaedic Surgery - Hand Surgery in Knoxville, TN

Q: What is Kristen Ploetze's NPI number?

The NPI number for Kristen Ploetze is 1245644228. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Q: What is Kristen Ploetze's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Ploetze was last updated on January 15, 2026. 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.

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment

91.5/100

CMS Quality Rating

260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922(865) 558-4400(865) 558-4421 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2026, Jun 4, 2020, Oct 14, 2019 (3 updates tracked since 2019).

On this page

About Kristen Lynn Ploetze M.d. NPPES

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

KRISTEN LYNN PLOETZE M.D. (NPI 1245644228) is an individual hand surgery provider in Knoxville, Tennessee, licensed in Tennessee (60863) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1245644228

Entity TypeIndividualFemale

Primary Taxonomy207XS0106X

Provider Legal NameKRISTEN LYNN PLOETZECredential: M.D.

Location Address260 FORT SANDERS WEST BLVDKnoxville, TN 37922-3355

Mailing Address8320 E Walker Springs Ln Ste 200Knoxville, TN 37923-3120 · (865) 769-4500 · Fax (865) 769-4501

Phone(865) 558-4400

Fax(865) 558-4421

Sole ProprietorYes

Medical School CMSVanderbilt University School Of MedicineGraduated 2014

Enumeration DateJune 17, 2014

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1245644228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in TN · 60863

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01082145A (IN), 2014018118 (MO), 60863 (TN)

260 FORT SANDERS WEST BLVD, Knoxville, TN 37922

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Secondary Practice Location 1

Location 18501 Harcourt RdIndianapolis, IN 46260-1010 · Phone (317) 875-9105 · Fax (317) 808-8802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, CareSource, Cigna Healthcare 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

Kristen Lynn Ploetze 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 ID8224259296

PECOS Enrollment IDI20200710001794

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 Reassignment

Medicare enrollment records show Kristen Ploetze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthotennessee, PC

Same address

Orthopaedic Surgery

260 FORT SANDERS WEST BLVD
Knoxville, TN 37922

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

NPI 1053402040 (865) 558-4400

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 23

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

508 services125 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

221 services102 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

180 services133 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.

178 services150 patients

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.

148 services80 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.

121 services121 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

105 services73 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

78 services68 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

52 services34 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

50 services39 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.

49 services49 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

41 services28 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

36 services32 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

34 services22 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

33 services29 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

32 services28 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

24 services21 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

15 services13 patients

Cast supplies, short arm splint, adult (11 years +), fiberglass Q4022

A short arm splint, for adults and children aged 11+, is a support device made of fiberglass. It is applied to the lower part of the arm to immobilize it after an injury or surgery. It helps in healing by restricting movement and providing stability.

14 services14 patients

Application of nonmoveable forearm to hand splint 29125

The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.

13 services13 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

12 services12 patients

Application of hand and lower forearm cast 29085

The application of a hand and lower forearm cast involves placing a supportive structure around the hand and lower arm. This is done to stabilize and protect the area after an injury, allowing for proper healing. The cast is typically made of plaster or fiberglass.

12 services12 patients

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Q4014

A gauntlet cast is a supportive device applied to your lower forearm and hand. Being an adult version, it's suitable for individuals aged 11 years and above. Made from fiberglass, it's lightweight yet strong, providing optimal support while your injury heals.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440173

Location9352 Park West BlvdKnoxville, TN 37923 · Knox County

Emergency services Birthing friendly

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

$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.

91.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

80.84

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809

DME-Orthotic Devices · category DF000N

3 suppliers13 claims14 services$189.67 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

3 suppliers64 claims69 services$40.49 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

3 suppliers22 claims26 services$65.42 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 20

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

MS. SUZANNE GRACE PT

Physical Therapist

260 FORT SANDERS WEST BLVD, SUITE 110
KNOXVILLE, TN 37922

Knox County (865) 558-4491

RACHEL M PELICANO DPT

Physical Therapist

260 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922

Knox County (865) 558-4491

CYNTHIA R. SHEPHERD P.T.

Physical Therapist

260 FORT SANDERS WEST BLVD, SUITE 110
KNOXVILLE, TN 37922

Knox County (865) 558-4491

ORTHOTENNESSEE, PC

Orthopaedic Surgery

260 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922

Knox County (865) 558-4400

KATELYN HOLT PA

Physician Assistant

260 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922

Knox County (865) 769-4500

MR. JEFFREY GROVER JARNAGIN P.A.-C.

Physician Assistant

260 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922

Knox County (865) 769-4500

DR. BRUCE BRIAN FRY D.O.

Physical Medicine & Rehabilitation

260 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922

Knox County (865) 558-4400

DR. ANDREW MICHAEL HOLT M.D.

Orthopaedic Surgery (Sports Medicine)

260 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922

Knox County (865) 558-4400

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 Kristen Ploetze's NPI number?

The NPI number for Kristen Ploetze is 1245644228. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Kristen Ploetze located?

Kristen Ploetze practices at 260 Fort Sanders West Blvd, Knoxville, TN 37922. The listed phone number is (865) 558-4400.

What is Kristen Ploetze's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Kristen Ploetze enrolled in Medicare?

Yes. Kristen Ploetze 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.

Which organization bills Medicare for Kristen Ploetze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Ploetze reassigns Medicare benefits to Orthotennessee, PC (Knoxville, TN). The 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 Kristen Ploetze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Ploetze accept?

Health plans from BlueCross BlueShield of Tennessee, CareSource, Cigna Healthcare and UnitedHealthcare list Kristen Ploetze 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 Kristen Ploetze affiliated with any hospitals?

According to CMS data, Kristen Ploetze is affiliated with Blount Memorial Hospital, Physicians Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Ploetze was last updated on January 15, 2026. 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.