Individual provider Active NPI

Dagon J Percer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1265467922
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM659 Issued in TN
Practice address
116 Concord Rd
#300
Knoxville, TN 37934-2940
Phone
(865) 523-5655
Fax
(865) 851-9884
NPI assigned
Jul 11, 2006
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM659 TN Primary

Addresses

Primary practice location

116 Concord Rd
#300
Knoxville, TN 37934-2940

Mailing address

116 Concord Rd
#300
Knoxville, TN 37934-2940
Phone (865) 523-5655

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060930000047 TN Practitioner - Podiatry 7012912728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandberg Foot Health Center PCGroup PAC ID 2668369638, 6 clinicians

Practice addresses (Care Compare)

116 Concord Rd
Suite 300
Knoxville, TN 37934-2941
Phone (865) 523-5655

501 19TH St
Suite 601
Knoxville, TN 37916-1852
Phone (865) 523-5655

939 Emerald Ave
Suite 706
Knoxville, TN 37917-4502
Phone (865) 523-5655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue195
Removal of skin lesions15
Removal of nail tissue756
Removal or shaving of skin growth368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM659TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandberg Foot Health Center PC Foot & Ankle Surgery CurrentSince Feb 1, 2017 Accepting new patients
Sandberg Foot Health Center PC Foot & Ankle Surgery CurrentSince Feb 1, 2017 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

116 Concord Rd
Ste 300
Knoxville, TN 37934
Phone (865) 523-5655

1928 Alcoa Hwy
Ste 200
Knoxville, TN 37920
Phone (865) 523-5655

501 19th St
Ste 601
Knoxville, TN 37916
Phone (865) 521-7662

9301 Park West Blvd
Ste A2
Knoxville, TN 37923
Phone (865) 693-5450

9330 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 523-5655

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1265467922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CONCORD RD",
            "address_2": "#300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342940",
            "telephone_number": "865-523-5655",
            "fax_number": "865-851-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CONCORD RD",
            "address_2": "#300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342940",
            "telephone_number": "865-523-5655",
            "fax_number": "865-851-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCER",
        "first_name": "DAGON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.