Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDWARD PAUL LAINE DO
NPI 1972583102
Pathology - Anatomic Pathology & Clinical Pathology in Knoxville, TN

Q: What is Edward Laine's NPI number?

The NPI number for Edward Laine is 1972583102. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Edward Laine's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Edward Laine was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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 January 23, 2006PECOS EnrolledAccepts Medicare Assignment

94.75/100

CMS Quality Rating

501 19TH ST, KNOXVILLE, TN 37916(865) 522-7591(419) 866-5453 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Jul 19, 2023, Jan 28, 2019 (3 updates tracked since 2019).

On this page

About Edward Paul Laine Do NPPES

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

EDWARD PAUL LAINE DO (NPI 1972583102) is an individual anatomic pathology & clinical pathology provider in Knoxville, Tennessee, licensed in Tennessee (1304) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Leconte Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1972583102

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameEDWARD PAUL LAINECredential: DO

Location Address501 19TH STKnoxville, TN 37916-1854

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(865) 522-7591

Fax(419) 866-5453

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1993

Enumeration DateJanuary 23, 2006

Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1972583102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TN · 1304✔ Licensed in NE · 1857✔ Licensed in KS · 05-28923✔ Licensed in MI · 5101012103✔ Licensed in CA · 6623

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 5101012103 (MI)

501 19TH ST, Knoxville, TN 37916

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Other Identifiers 1

Other2152210364MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Edward Paul Laine Do 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 ID9133189194

PECOS Enrollment IDI20250224003255

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 Reassignment

Medicare enrollment records show Edward Laine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Pathology Services PLLC

Same address

Anatomic Pathology & Clinical Pathology

501 19TH ST, SUITE 301
Knoxville, TN 37916

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

NPI 1619141306 (865) 522-7591

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 27

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

737 services436 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

635 services332 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

354 services80 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

150 services90 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

134 services119 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

106 services66 patients

Special stained specimen slides to examine tissue, initial procedure 88342

88 services82 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

82 services26 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

71 services65 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

68 services59 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

66 services32 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

50 services38 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

40 services13 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

34 services25 patients

Pathology examination of specimen during surgery, each additional tissue block 88332

During surgery, a pathology examination may be done on additional tissue blocks. This involves taking small samples of tissue and examining them under a microscope. This helps identify any abnormal cells or diseases present, aiding in the precise diagnosis and treatment planning.

33 services20 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

29 services16 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

28 services24 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

27 services18 patients

Evaluation of fine needle aspirate with interpretation and report 88173

24 services21 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

23 services12 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

22 services21 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

22 services19 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

20 services20 patients

Preparation of tissue for examination by removing any calcium present 88311

19 services17 patients

Pathology examination of specimen during surgery, first tissue block 88331

18 services14 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

17 services15 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440081

Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County

Emergency services Birthing friendly

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 37916 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.

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.

94.75/100

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

Scored as part of a group practice

Quality

83.63

Improvement Activities

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.

FORT SANDERS PERINATAL CENTER

Obstetrics & Gynecology (Maternal & Fetal Medicine)

501 19TH ST, STE 304
KNOXVILLE, TN 37916

Knox County (865) 541-2020

HOVIS ORTHOPAEDIC CLINIC PC

Orthopaedic Surgery

501 19TH ST, STE 702
KNOXVILLE, TN 37916

Knox County (865) 524-0054

DR. RICHARD ANTHONY SANCES II MD

Pathology (Anatomic Pathology & Clinical Pathology)

501 19TH ST, SUITE 301
KNOXVILLE, TN 37916

Knox County (865) 522-7591

DR. PAUL EBERTS MD

Pathology (Anatomic Pathology & Clinical Pathology)

501 19TH ST, #301
KNOXVILLE, TN 37916

Knox County (865) 522-7591

JASMINE RUMLEY

Nurse's Aide

501 19TH ST
KNOXVILLE, TN 37916

Knox County (865) 370-2830

KEVIN KINGERY

Registered Nurse (Emergency)

501 19TH ST
KNOXVILLE, TN 37916

Knox County (865) 331-2020

CLAUDE C. FRAZIER, III, DO

Dermatology

501 19TH ST, STE 309
KNOXVILLE, TN 37916

Knox County (865) 541-2929

DR. DAVID A BIRDWELL MD

Pathology (Anatomic Pathology & Clinical Pathology)

501 19TH ST, SUITE 301
KNOXVILLE, TN 37916

Knox County (865) 522-7591

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 Edward Laine's NPI number?

The NPI number for Edward Laine is 1972583102. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Edward Laine located?

Edward Laine practices at 501 19th St, Knoxville, TN 37916. The listed phone number is (865) 522-7591.

What is Edward Laine's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Edward Laine enrolled in Medicare?

Yes. Edward Laine 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 Edward Laine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Laine reassigns Medicare benefits to Innovative Pathology Services PLLC (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 Edward Laine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Laine accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Edward Laine 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 Edward Laine affiliated with any hospitals?

According to CMS data, Edward Laine is affiliated with Leconte Medical Center, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Laine was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.