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CARL S ORTHOEFER MD
NPI 1629013701
Internal Medicine in Knoxville, TN

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
2240 SUTHERLAND AVE, STE 104, KNOXVILLE, TN 37919(865) 909-0090(865) 909-9883 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carl S Orthoefer Md NPPES

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

CARL S ORTHOEFER MD (NPI 1629013701) is an individual internal medicine provider in Knoxville, Tennessee, licensed in Tennessee (31404) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Fort Loudoun Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1997).

NPPES Registry Identity

NPI1629013701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARL S ORTHOEFERCredential: MD
Location Address2240 SUTHERLAND AVE, STE 104Knoxville, TN 37919-2333
Mailing Address1225 E Weisgarber Rd, Ste 200Knoxville, TN 37909-2604 · (865) 584-4747 · Fax (865) 584-1363
Phone(865) 909-0090
Fax(865) 909-9883
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1997
Enumeration DateJune 20, 2006
Last NPPES UpdateOctober 24, 2013
✔ NPI 1629013701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 31404
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2240 SUTHERLAND AVE, Knoxville, TN 37919
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Other Identifiers 4

Medicaid3851861TN
Medicare UPINH13572
Medicare UPIN3851861TN
Other110205242TN · Rr Medicare Pin

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

Carl S Orthoefer 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 ID7113005133
PECOS Enrollment IDI20100223000722
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 6

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.

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.
303 services134 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.
233 services115 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
102 services101 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services62 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
29 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · 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 37919 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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$71.60 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.

THOMAS L JERNIGAN MD
Internal Medicine
2240 SUTHERLAND AVE, STE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090
DR. JAMES A MILLER M.D.
Internal Medicine
2240 SUTHERLAND AVE, SUITE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090
ALYSON FRANCES BENUSCHES
Nurse's Aide
2240 SUTHERLAND AVE
KNOXVILLE, TN 37919
Knox County (865) 934-6100
PHILLIP S HEDGE FNP
Nurse Practitioner (Family)
2240 SUTHERLAND AVE, SUITE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090
MRS. TERESA LONG-CRAFT-CLARK
Nurse Practitioner (Family)
2240 SUTHERLAND AVE, SUITE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090
DEBRA ANNE PERRY MD
Internal Medicine
2240 SUTHERLAND AVE, SUITE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090
DIANE L PETRILLA MD
Family Medicine
2240 SUTHERLAND AVE, SUITE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090
CATHERINE DAILEY NEAL PA
Physician Assistant
2240 SUTHERLAND AVE, SUITE 104
KNOXVILLE, TN 37919
Knox County (865) 909-0090

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 Carl Orthoefer's NPI number?

The NPI number for Carl Orthoefer is 1629013701. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Carl Orthoefer located?

Carl Orthoefer practices at 2240 Sutherland Ave Ste 104, Knoxville, TN 37919. The listed phone number is (865) 909-0090.

What is Carl Orthoefer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carl Orthoefer enrolled in Medicare?

Yes. Carl Orthoefer 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.

Is Carl Orthoefer affiliated with any hospitals?

According to CMS data, Carl Orthoefer is affiliated with Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Orthoefer was last updated on October 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.