ROSS NESBIT MD
NPI 1386870475
Internal Medicine - Nephrology in Knoxville, TN

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment
79.09/100
CMS Quality Rating
1932 ALCOA HWY, SUITE C-460, KNOXVILLE, TN 37920(865) 546-9246 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ross Nesbit Md NPPES

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

ROSS NESBIT MD (NPI 1386870475) is an individual nephrology provider in Knoxville, Tennessee, licensed in Tennessee (51380) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386870475
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameROSS NESBITCredential: MD
Location Address1932 ALCOA HWY, SUITE C-460Knoxville, TN 37920-1527
Mailing Address1932 Alcoa Hwy, Suite C-460Knoxville, TN 37920-1527 · (865) 546-9246
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 3, 2009
Last NPPES UpdateMarch 7, 2019
NPI 1386870475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TN · 51380
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 156618 (NC)
1932 ALCOA HWY, Knoxville, TN 37920

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

Ross Nesbit 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 ID8729208137
PECOS Enrollment IDI20141007002568
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 17

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.
392 services320 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
292 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
271 services94 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
236 services143 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
215 services45 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
194 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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.

79.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.87
Promoting Interoperability94
Improvement Activities40
Cost51.76

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
52%60 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
83%795 patients4/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%356 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,993 patients4/55-star benchmark: 100%
e-Prescribing
99%504 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%559 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%457 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 991 patients
Patients totalRate: 0% · 991 patients
0%991 patients5/55-star benchmark: 100%
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 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers18 claims1,035 services$0.32 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers29 claims29 services$18.98 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.

Nurse Practitioner (Obstetrics & Gynecology)
1932 ALCOA HWY, 150
KNOXVILLE, TN 37920
Surgery
1932 ALCOA HWY
KNOXVILLE, TN 37920
Nurse Practitioner
1932 ALCOA HWY, SUITE 580
KNOXVILLE, TN 37920
Physician Assistant (Surgical)
1932 ALCOA HWY, SUITE 360
KNOXVILLE, TN 37920
Internal Medicine
1932 ALCOA HWY, STE 470
KNOXVILLE, TN 37920
General Practice
1932 ALCOA HWY, BLDG C SUITE 550
KNOXVILLE, TN 37920
Physician Assistant (Surgical)
1932 ALCOA HWY, STE 255
KNOXVILLE, TN 37920
Internal Medicine (Nephrology)
1932 ALCOA HWY, STE C460
KNOXVILLE, TN 37920

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 Ross Nesbit's NPI number?

The NPI number for Ross Nesbit is 1386870475. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Ross Nesbit located?

Ross Nesbit practices at 1932 Alcoa Hwy Suite C-460, Knoxville, TN 37920. The listed phone number is (865) 546-9246.

What is Ross Nesbit's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ross Nesbit enrolled in Medicare?

Yes. Ross Nesbit 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 Ross Nesbit accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Ross Nesbit 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 Ross Nesbit affiliated with any hospitals?

According to CMS data, Ross Nesbit is affiliated with Cumberland Medical Center, Blount Memorial Hospital, University Health System, Inc, Methodist Medical Center Of Oak Ridge and Leconte Medical Center.

When was this NPI record last updated?

The NPPES record for Ross Nesbit was last updated on March 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.