LAKEWAY ORTHOPAEDIC CLINIC
NPI 1659462422
Orthopaedic Surgery in Lenoir City, TN
About Lakeway Orthopaedic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEWAY ORTHOPAEDIC CLINIC (NPI 1659462422) is a healthcare organization registered as an orthopaedic surgery in Lenoir City, Tennessee and active in the NPI registry since September 2006. The organization lists Jon-david Deeson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeway Orthopaedic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to Lakeway Orthopaedic Clinic, which bills Medicare for the services they deliver. Of these, 32 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 115Lenoir City, TN 37772
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Orthotennessee, PC's NPI number?
The NPI number for Orthotennessee, PC is 1659462422. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Lakeway Orthopaedic Clinic.
Where is Orthotennessee, PC located?
Orthotennessee, PC is located at 460 Medical Park Dr Suite 104, Lenoir City, TN 37772. The listed phone number is (865) 986-7737.
What is Orthotennessee, PC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Orthotennessee, PC enrolled in Medicare?
Yes. Orthotennessee, PC is registered in the Medicare PECOS enrollment system.
When is Orthotennessee, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Orthotennessee, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 11 Medicare specialties reassign their Medicare billing to Orthotennessee, PC. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (34), Orthopedic Surgery (30) and Occupational Therapist in Private Practice (14). Of these, 32 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Orthotennessee, PC was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Lakeway Orthopaedic Clinic · NPI 1659462422
Orthopaedic Surgery organization in Lenoir City, Tennessee. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1659462422 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Orthotennessee, Pc
- **Organization subpart:** No
- **Authorized official:** Jon-David Deeson, CEO
## Practice location
- **Address:** 460 MEDICAL PARK DR, SUITE 104, Lenoir City, TN 37772-5640
- **Phone:** (865) 986-7737 · **Fax:** (865) 986-7807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 115 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (34), Orthopedic Surgery (30), Occupational Therapist in Private Practice (14); 32 practice within 10 miles; [full list](https://npiprofile.com/npi/1659462422/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 3711621 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1659462422) · Data from the CMS NPPES public registry.