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DR. JOHN L HOLBROOK M.D.
NPI 1255301644
Orthopaedic Surgery in Johnson City, TN

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
3 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604(423) 434-6300(423) 434-6312 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John L Holbrook M.d. NPPES

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

DR. JOHN L HOLBROOK M.D. (NPI 1255301644) is an individual orthopaedic surgery provider in Johnson City, Tennessee, licensed in Tennessee (18713) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1980).

NPPES Registry Identity

NPI1255301644
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN L HOLBROOKCredential: M.D.
Location Address3 PROFESSIONAL PARK DR, SUITE 21Johnson City, TN 37604-6529
Mailing Address3 Professional Park Dr, Suite 21Johnson City, TN 37604-6529 · (423) 434-6300 · Fax (423) 434-6312
Phone(423) 434-6300
Fax(423) 434-6312
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1980
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMay 5, 2008
✔ NPI 1255301644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 18713
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.
3 PROFESSIONAL PARK DR, Johnson City, TN 37604
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Other Identifiers 5

Medicare UPINE04251TN
Medicaid5903976NC
Medicare PIN3043199TN
Medicaid3043199TN
Medicare PIN200039312TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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. John L Holbrook 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 ID7911964614
PECOS Enrollment IDI20100805001118
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 10

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 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.
91 services77 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.
73 services65 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.
59 services41 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.
59 services40 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.
31 services31 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.
26 services19 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

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…
98%491 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,783 patients5/55-star benchmark: 100%
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.
92%141 patients3/55-star benchmark: 99%
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.
99%436 patients4/55-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.
65%1,078 patients3/55-star benchmark: 97%
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…
23%979 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%588 patients1/55-star benchmark: 88%
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
Patients screenedForUse: 100% · 404 patients
Patients tobacco: 5% · 37 patients
79%207 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
70%207 patients3/55-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…
77%1,078 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
97%1,078 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%1,078 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.

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier16 claims19 services$46.24 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.

JOHN LAWSON SURGICAL GROUP
Nurse Practitioner (Family)
3 PROFESSIONAL PARK DR, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 975-5650
JAMES B HAIRE PA-C
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. THOMAS L HUDDLESTON M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
LEWIS GORDON PORTER IV PA-C
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
WILLIAM STACY MELVIN P.A.
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JAMES A GOSS M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 979-3333
LOUIS F MCDANIEL PA-C
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300

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 John Holbrook's NPI number?

The NPI number for John Holbrook is 1255301644. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is John Holbrook located?

John Holbrook practices at 3 Professional Park Dr Suite 21, Johnson City, TN 37604. The listed phone number is (423) 434-6300.

What is John Holbrook's specialty?

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

Is John Holbrook enrolled in Medicare?

Yes. John Holbrook 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 John Holbrook accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list John Holbrook 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 John Holbrook affiliated with any hospitals?

According to CMS data, John Holbrook is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for John Holbrook was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.