Individual provider Active NPI

David D Lo, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Knoxville, TN
National Provider Identifier
1063671493
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD57830 Issued in TN
Practice address
6512 Deane Hill Dr
Knoxville, TN 37919-6005
Phone
(865) 357-2639
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD57830 TN Primary

Addresses

Primary practice location

6512 Deane Hill Dr
Knoxville, TN 37919-6005

Mailing address

6512 Deane Hill Dr
Knoxville, TN 37919-6005
Phone (865) 357-2639

Other identifiers 1

IdentifierTypeStateIssuer
Q037752MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828001655 TN Practitioner - Plastic and Reconstructive Surgery 6507115375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Tufts University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Surgical Associates PLLCGroup PAC ID 1254224181, 61 clinicians

Practice addresses (Care Compare)

6408 Papermill Dr
Knoxville, TN 37919-4858
Phone (865) 588-8229

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
64.09
Promoting interoperability
98
Improvement activities
40
Cost
77.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD57830TNMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David D. Lo, MD, PLLC Plastic and Reconstructive Surgery Current Accepting new patients
David D. Lo, MD, PLLC Plastic and Reconstructive Surgery Current Accepting new patients
Premier Surgical Associates, PLLC Surgery CurrentSince Aug 27, 2020 Accepting new patients
Premier Surgical Associates, PLLC Surgery CurrentSince Aug 27, 2020 Accepting new patients
Allergy Associates, P.a. PastSince Aug 1, 2018 Accepting new patients

Locations

6512 Deane Hill Dr
Knoxville, TN 37919
Phone (865) 357-2222

6408 Papermill Dr
Ste 220
Knoxville, TN 37919
Phone (865) 306-5675

6408 Papermill Dr
Knoxville, TN 37919
Phone (865) 306-5680

9430 Park West Blvd
Ste 310
Knoxville, TN 37923
Phone (865) 984-3413

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1063671493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 DEANE HILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196005",
            "telephone_number": "865-357-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 DEANE HILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196005",
            "telephone_number": "865-357-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "MD57830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037752",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.