Individual provider Active NPI

Wade Clayton Gobbell, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Knoxville, TN
National Provider Identifier
1073040911
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
67906 Issued in TN
Practice address
9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Phone
(865) 690-4861
Fax
(865) 693-0338
NPI assigned
May 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 67906 TN Primary

Addresses

Primary practice location

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062

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
I20230530000647 TN Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 1759655871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188

1819 Clinch Ave
Knoxville, TN 37916-2435

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

9430 Park W Blvd
Suite 235
Knoxville, TN 37923-4207
Phone (865) 690-4861

988 Oak Ridge Tpke
Suite 100
Oak Ridge, TN 37830-6919
Phone (865) 483-8478

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67906TNMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery CurrentSince Apr 24, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Apr 24, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery Past Accepting new patients

Locations

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

961 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 483-1906

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

Interoperability endpoints

  • Direct secure messaging: wadec.gobbell.p2@direct.toa.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1073040911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-694-0062",
            "fax_number": "865-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 130",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234205",
            "telephone_number": "865-690-4861",
            "fax_number": "865-693-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBBELL",
        "first_name": "WADE",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "67906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.