ANDREW W CELMER MD
NPI 1376571604
Otolaryngology in Murfreesboro, TN

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
1272 GARRISON DR, MURFREESBORO, TN 37129(615) 893-4480(615) 895-6212 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2021, Jun 25, 2020 (2 updates tracked since 2020).

About Andrew W Celmer Md NPPES

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

ANDREW W CELMER MD (NPI 1376571604) is an individual otolaryngology provider in Murfreesboro, Tennessee, licensed in Tennessee (MD56766) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Stonecrest Medical Center, and is a graduate of Indiana University School Of Medicine (2000).

NPPES Registry Identity

NPI1376571604
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameANDREW W CELMERCredential: MD
Location Address1272 GARRISON DRMurfreesboro, TN 37129-2598
Mailing Address1272 Garrison DrMurfreesboro, TN 37129-2598 · (615) 893-4480
Fax(615) 895-6212
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2000
Enumeration DateJune 28, 2006
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1376571604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TN · MD56766
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1272 GARRISON DR, Murfreesboro, TN 37129

Accepted 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

Andrew W Celmer Md 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 ID4880612118
PECOS Enrollment IDI20180831000674
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 12

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.

Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
245 services231 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
206 services204 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
143 services116 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.
87 services87 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.
84 services72 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.
56 services56 patients

Hospital Affiliations CMS Care Compare

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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.12
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1272 GARRISON DR
MURFREESBORO, TN 37129
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Anesthesiology (Pain Medicine)
1272 GARRISON DR
MURFREESBORO, TN 37129
Audiologist
1272 GARRISON DR
MURFREESBORO, TN 37129
Nurse Practitioner (Family)
1272 GARRISON DR
MURFREESBORO, TN 37129
Nurse Practitioner (Pediatrics)
1272 GARRISON DR
MURFREESBORO, TN 37129

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 Andrew Celmer's NPI number?

The NPI number for Andrew Celmer is 1376571604. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Andrew Celmer located?

Andrew Celmer practices at 1272 Garrison Dr, Murfreesboro, TN 37129. The listed phone number is (615) 893-4480.

What is Andrew Celmer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Celmer enrolled in Medicare?

Yes. Andrew Celmer 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 Andrew Celmer accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Andrew Celmer 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 Andrew Celmer affiliated with any hospitals?

According to CMS data, Andrew Celmer is affiliated with Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Celmer 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 4 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.