DR. CHARLES ROBERT KAELIN JR. M.D.
NPI 1861469017
Orthopaedic Surgery in Mount Juliet, TN

Q: What is Charles Kaelin's NPI number?

The NPI number for Charles Kaelin is 1861469017. It was assigned to this individual provider in the NPPES registry on March 7, 2006. The provider is also known as Charles Robert Kaelin M.D..

Q: What is Charles Kaelin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Kaelin was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment

87.26/100

CMS Quality Rating

4998 CROSSINGS CIR STE 200, MOUNT JULIET, TN 37122(615) 553-5000(615) 758-3875 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2021, Feb 15, 2017 (2 updates tracked since 2017).

On this page

About Dr. Charles Robert Kaelin Jr. M.d. NPPES

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

DR. CHARLES ROBERT KAELIN JR. M.D. (NPI 1861469017) is an individual orthopaedic surgery provider in Mount Juliet, Tennessee, licensed in Tennessee (25086) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861469017

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CHARLES ROBERT KAELIN JR.Credential: M.D.

Location Address4998 CROSSINGS CIR STE 200Mount Juliet, TN 37122-0018

Mailing Address4998 Crossings Cir Ste 200Mount Juliet, TN 37122-0018 · (615) 553-5000 · Fax (615) 758-3875

Phone(615) 553-5000

Fax(615) 758-3875

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1982

Enumeration DateMarch 7, 2006

Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration

NPPES CertifiedJuly 15, 2021

✔ NPI 1861469017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TN · 25086

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedSpecialistTaxonomy 174400000X · License 25086 (TN)

4998 CROSSINGS CIR STE 200, Mount Juliet, TN 37122

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Other Names 1

Professional Name (2)Charles Robert Kaelin M.d.

Secondary Practice Locations 3

Location 11492 Tiny Town Rd Ste A1-A2Clarksville, TN 37042-7873 · Phone (615) 553-5000

Location 21047 Glenbrook WayHendersonville, TN 37075-1306 · Phone (615) 553-5000

Location 3820 N Thompson Ln Ste 1HMurfreesboro, TN 37129-4340 · Phone (615) 553-5000

Other Identifiers 2

Medicaid3080380TN

Other3080389Medicare Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.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

Dr. Charles Robert Kaelin Jr. M.d. 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 ID3375440340

PECOS Enrollment IDI20031217000657

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Kaelin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Medical Group Tennessee LLC

16 mi

Family Medicine

1 VANTAGE WAY STE C240
Nashville, TN 37228

Reassigned Medicare billing, Tennessee enrollment
173 clinicians in this Medicare group

NPI 1376110858 (571) 982-6636

Seven Springs Orthopaedics, PC

17 mi

Sports Medicine

317 SEVEN SPRINGS WAY STE 101
Brentwood, TN 37027

Reassigned Medicare billing, Tennessee enrollment
17 clinicians in this Medicare group

NPI 1194210005 (615) 370-9992

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 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

262 services41 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.

115 services74 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services51 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

67 services39 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.

62 services62 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

46 services37 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

22 services21 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

21 services13 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

21 services12 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

19 services13 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

16 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

15 services13 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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.

87.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.97

Promoting Interoperability

85.91

Improvement Activities

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIVIA MEDICAL GROUP TENNESSEE LLC

Orthopaedic Surgery (Sports Medicine)

4998 CROSSINGS CIR STE 200
MT JULIET, TN 37122

Wilson County (615) 553-5000

TENNESSEE SPORTS MEDICINE, PC

Orthopaedic Surgery

4998 CROSSINGS CIR STE 200
MOUNT JULIET, TN 37122

Wilson County (615) 553-5000

SPORT ORTHO URGENT CARE PC

Clinic/Center (Urgent Care)

4998 CROSSINGS CIR STE 200
MOUNT JULIET, TN 37122

Wilson County (615) 553-5000

SEVEN SPRINGS ORTHOPAEDICS, PC

Orthopaedic Surgery

4998 CROSSINGS CIR STE 200
MT JULIET, TN 37122

Wilson County (615) 553-5000

SARAH CATHERINE GUISINGER PA

Physician Assistant

4998 CROSSINGS CIR STE 200
MOUNT JULIET, TN 37122

Wilson County (615) 553-5000

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 Charles Kaelin's NPI number?

The NPI number for Charles Kaelin is 1861469017. It was assigned to this individual provider in the NPPES registry on March 7, 2006. The provider is also known as Charles Robert Kaelin M.D..

Where is Charles Kaelin located?

Charles Kaelin practices at 4998 Crossings Cir Ste 200, Mount Juliet, TN 37122. The listed phone number is (615) 553-5000.

What is Charles Kaelin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Kaelin enrolled in Medicare?

Yes. Charles Kaelin 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 organizations bill Medicare for Charles Kaelin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Kaelin reassigns Medicare benefits to 2 organizations: Privia Medical Group Tennessee LLC (Nashville, TN) and Seven Springs Orthopaedics, PC (Brentwood, TN). Each 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 Charles Kaelin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Kaelin accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Charles Kaelin 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 Charles Kaelin affiliated with any hospitals?

According to CMS data, Charles Kaelin is affiliated with Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Kaelin was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.