Individual provider Active NPI

Richard Wesley Pectol Jr., M.D.

  • Orthopaedic Surgery Physician
  • Greeneville, TN
National Provider Identifier
1154315018
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
31786 Issued in TN
Practice address
223 N Main St
Greeneville, TN 37745-3815
Phone
(423) 639-2103
Fax
(423) 639-1642
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 31786 TN Primary

Addresses

Primary practice location

223 N Main St
Greeneville, TN 37745-3815

Mailing address

223 N Main St
Greeneville, TN 37745-3815
Phone (423) 639-2103

Other identifiers 1

IdentifierTypeStateIssuer
3841723MedicaidTN

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
I20100803000984 TN Practitioner - Orthopedic Surgery 0648351502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
East Tennessee State University Quillen College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

1424 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 636-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) 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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc Orthopaedic Surgery CurrentSince Jan 1, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
Wellmont Medical Associates Inc Past Accepting new patients

Locations

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Organizations & group practices 4

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 2

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1154315018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453815",
            "telephone_number": "423-639-2103",
            "fax_number": "423-639-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453815",
            "telephone_number": "423-639-2103",
            "fax_number": "423-639-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECTOL",
        "first_name": "RICHARD",
        "middle_name": "WESLEY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "31786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3841723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.