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DR. PAUL T NAYLOR MD
NPI 1265407878
Orthopaedic Surgery in Knoxville, TN

Active since February 18, 2006PECOS Enrolled
75/100
CMS Quality Rating
9430 PARK WEST BLVD, SUITE 130, KNOXVILLE, TN 37923(865) 690-4861(865) 560-8525 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2020, Oct 17, 2019, Apr 12, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Paul T Naylor Md NPPES

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

DR. PAUL T NAYLOR MD (NPI 1265407878) is an individual orthopaedic surgery provider in Knoxville, Tennessee, licensed in Tennessee (20611) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265407878
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL T NAYLORCredential: MD
Location Address9430 PARK WEST BLVD, SUITE 130Knoxville, TN 37923
Mailing AddressPo Box 32569Knoxville, TN 37930-2569 · (865) 694-0062 · Fax (865) 694-7907
Phone(865) 690-4861
Fax(865) 560-8525
Sole ProprietorNo
Enumeration DateFebruary 18, 2006
Last NPPES UpdateJanuary 10, 20204 updates tracked since enumeration
✔ NPI 1265407878 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 · 20611
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.
9430 PARK WEST BLVD, Knoxville, TN 37923
Open in Google Maps ↗

Other Identifiers 1

Medicaid3053344TN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul T Naylor Md 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

2

Medicare enrollment records show Paul Naylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tennessee Orthopaedic Alliance PA
Same address
Magnetic Resonance Imaging
9430 PARK WEST BLVD STE 235
Knoxville, TN 37923
  • Reassigned Medicare billing, Tennessee enrollment
  • 365 clinicians in this Medicare group
NPI 1124614581 (865) 690-4861
Tennessee Orthopaedic Clinics PC
Same address
Physical Therapy
9430 PARK WEST BLVD, SUITE 230
Knoxville, TN 37923
  • Reassigned Medicare billing, Tennessee enrollment
  • 50 clinicians in this Medicare group
NPI 1427464114 (865) 560-8550

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

ASHLEY LONG ROBINSON P.T.
Physical Therapist
9430 PARK WEST BLVD, STE 235
KNOXVILLE, TN 37923
Knox County (865) 560-8550
DR. CLIFFORD Q JOHNSON,JR M.D.
Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Knox County (865) 693-6065
KATHRYN MARTON NP
Nurse Practitioner
9430 PARK WEST BLVD, SUITE 130
KNOXVILLE, TN 37923
Knox County (865) 690-4861
OLIVIA M GUTHRIE PA
Physician Assistant (Medical)
9430 PARK WEST BLVD, SUITE 110
KNOXVILLE, TN 37923
Knox County (865) 694-8353
JILL COLE GRESHAM AUDIOLOGIST
Audiologist
9430 PARK WEST BLVD, SUITE 330
KNOXVILLE, TN 37923
Knox County (865) 693-6065
MITCHELL J REYNOLDS PT
Physical Therapist
9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923
Knox County (865) 690-4861
SAMUEL MARK OVERHOLT M.D.
Otolaryngology
9430 PARK WEST BLVD
KNOXVILLE, TN 37923
Knox County (865) 693-6065
TENNESSEE ORTHOPAEDIC CLINICS PC
Clinic/Center (Physical Therapy)
9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923
Knox County (865) 560-8550

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 Paul Naylor's NPI number?

The NPI number for Paul Naylor is 1265407878. It was assigned to this individual provider in the NPPES registry on February 18, 2006.

Where is Paul Naylor located?

Paul Naylor practices at 9430 Park West Blvd Suite 130, Knoxville, TN 37923. The listed phone number is (865) 690-4861.

What is Paul Naylor's specialty?

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

Is Paul Naylor enrolled in Medicare?

Yes. Paul Naylor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Naylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Naylor reassigns Medicare benefits to 2 organizations: Tennessee Orthopaedic Alliance PA (Knoxville, TN) and Tennessee Orthopaedic Clinics PC (Knoxville, TN). 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 Paul Naylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Naylor accept?

Health plans from Cigna Healthcare list Paul Naylor 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 Paul Naylor was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.