DR. ROGER N PASSMORE MD
NPI 1861482259
Orthopaedic Surgery in Hermitage, TN

NPI Status: Active since October 26, 2005

Contact Information

5651 FRIST BLVD
SUITE 200
HERMITAGE, TN
ZIP 37076
Phone: (615) 885-0200
Fax: (615) 885-0267

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Accepts Insurance
  • PECOS Enrolled

About ROGER PASSMORE

This page provides the complete NPI Profile along with additional information for Roger Passmore, a provider established in Hermitage, Tennessee with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1861482259 assigned on October 2005. The practitioner's primary taxonomy code is 207X00000X with license number 32048 (TN). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1861482259
Provider Name
DR. ROGER N PASSMORE MD
Gender
Male
Entity Type
Individual
Location Address
5651 FRIST BLVD SUITE 200 HERMITAGE, TN 37076
Location Phone
(615) 885-0200
Location Fax
(615) 885-0267
Mailing Address
3024 BUSINESS PARK CIR GOODLETTSVILLE, TN 37072
Mailing Phone
(615) 855-6033
Mailing Fax
(615) 885-0267
Is Sole Proprietor?
No
Enumeration Date
10-26-2005
Last Update Date
03-28-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
32048
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XX0004XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Foot and Ankle Surgery

32048 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3863282MEDICAID (05)TN 
103I208271MEDICARE PIN (08)TN 
4013081OTHER (01)TNBCBS
4347485OTHER (01)TNBCBS
Q000313MEDICAID (05)TN 
3863282MEDICARE PIN (08)TN 
H32703MEDICARE UPIN (02) 
200041044MEDICARE PIN (08)TN 
0922510001MEDICARE PIN (08)TN 

Medicare Participation & PECOS Enrollment Status

Roger Passmore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF003N)

    Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf (HCPCS:L1902)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Orthotic Devices (DF003N)

    Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4361)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 55 times for 42 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 167 times for 94 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 58 times for 58 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 15 times for 15 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 162 times for 32 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 58 times for 58 patients

X-ray of ankle, minimum of 3 views

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.

This service was performed 109 times for 58 patients

X-ray of foot, minimum of 3 views

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.

This service was performed 175 times for 105 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37076 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.01
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861482259, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 8 + 4 + 2 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861482259.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
5651 FRIST BLVD, STE 213
HERMITAGE, TN 37076
Physician Assistant
5651 FRIST BLVD, SUITE 400
HERMITAGE, TN 37076
Dentist (Oral and Maxillofacial Surgery)
5651 FRIST BLVD, SUITE 300
HERMITAGE, TN 37076
Obstetrics & Gynecology
5651 FRIST BLVD, STE. 201
HERMITAGE, TN 37076
Internal Medicine (Interventional Cardiology)
5651 FRIST BLVD, SUITE 603
HERMITAGE, TN 37076
Nurse Practitioner (Obstetrics & Gynecology)
5651 FRIST BLVD, STE 201
HERMITAGE, TN 37076
Physician Assistant (Surgical)
5651 FRIST BLVD, SUITE 712
HERMITAGE, TN 37076
Specialist
5651 FRIST BLVD, STE 701
HERMITAGE, TN 37076
Specialist
5651 FRIST BLVD, SUITE 308
HERMITAGE, TN 37076
Specialist
5651 FRIST BLVD, STE. 709
HERMITAGE, TN 37076
Psychiatry & Neurology (Neurology)
5651 FRIST BLVD, SUITE 413
HERMITAGE, TN 37076
Dentist (Oral and Maxillofacial Surgery)
5651 FRIST BLVD, SUITE 301
HERMITAGE, TN 37076
Nurse Practitioner (Adult Health)
5651 FRIST BLVD, SUITE 701
HERMITAGE, TN 37076
Specialist
5651 FRIST BLVD, SUITE 409
HERMITAGE, TN 37076
Specialist
5651 FRIST BLVD, SUITE 610
HERMITAGE, TN 37076
Dermatology
5651 FRIST BLVD, STE 509
HERMITAGE, TN 37076
Plastic Surgery
5651 FRIST BLVD, STE 708
HERMITAGE, TN 37076
Family Medicine
5651 FRIST BLVD, STE 415
HERMITAGE, TN 37076
Internal Medicine (Pulmonary Disease)
5651 FRIST BLVD, STE 408
HERMITAGE, TN 37076
Surgery
5651 FRIST BLVD, SUITE 717
HERMITAGE, TN 37076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861482259, enumerated as an "individual" on October 26, 2005.

The provider is located at 5651 FRIST BLVD SUITE 200 HERMITAGE, TN 37076 and the phone number is (615) 885-0200.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.