CARL S ORTHOEFER MD
NPI 1629013701
Internal Medicine in Knoxville, TN
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 Morristown Hamblen Hospital Association, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Carl Orthoefer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Knoxville, TN 37919
- Reassigned Medicare billing, Tennessee enrollment
- 78 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morristown Hamblen Hospital Association
Acute Care Hospitals · Morristown, TNFort Loudoun Medical Center
Acute Care Hospitals · Lenoir City, TNFort Sanders Regional Medical Center
Acute Care Hospitals · Knoxville, TNParkwest Medical Center
Acute Care Hospitals · Knoxville, TNPhysician 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.
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.
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.
KNOXVILLE, TN 37919
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.
Which organization bills Medicare for Carl Orthoefer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Orthoefer reassigns Medicare benefits to Statcare Inpatient LLC (Knoxville, TN). The 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 Carl Orthoefer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Orthoefer accept?
Health plans from Cigna Healthcare list Carl Orthoefer 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 Carl Orthoefer affiliated with any hospitals?
According to CMS data, Carl Orthoefer is affiliated with Morristown Hamblen Hospital Association, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Carl S Orthoefer, MD · NPI 1629013701
Internal Medicine physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since June 20, 2006.
## Identity
- **NPI:** 1629013701 (Entity type: Individual)
- **Enumerated:** June 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 31404 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2240 SUTHERLAND AVE, STE 104, Knoxville, TN 37919-2333
- **Phone:** (865) 909-0090 · **Fax:** (865) 909-9883
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Statcare Inpatient LLC (NPI 1477086981, Knoxville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 1997
## Record status
- **NPPES last updated:** October 24, 2013
- **Other identifiers:** Medicaid 3851861 (TN); Medicare UPIN H13572; Medicare UPIN 3851861 (TN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629013701) · Data from the CMS NPPES public registry.