Active NPI
Tracy A Pesut X, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 39766
- Practice address
- 9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205 - Phone
- (865) 690-4861
- Fax
- (865) 560-8525
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 39766 | 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
Other practice location 1
576 Fort Loudoun Medical Center Dr Ste 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667
Other practice location 2
6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3332469 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050809000967 | TN | Practitioner - Orthopedic Surgery | 4981670106 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee Orthopaedic Alliance PA
Practice addresses (Care Compare)
1819 Clinch Ave
Knoxville, TN 37916-2435
6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235
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
- Parkwest Medical Center
- Blount Memorial Hospital
- Fort Loudoun Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 65.3
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39766 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Foot and Ankle Surgery | Current | Accepting new patients |
| Tennessee Orthopaedic Clinics PC | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Orthopaedic Specialists of Alabama PC | Past | Accepting new patients | |
| Orthopaedic Specialists of Alabama, PC | Past | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Past | Accepting new patients | |
| Alabama Sports Medicine and Ortho Center | Past | Accepting new patients | |
| Andrews Sports Medicine and Orthopaedic Center | Past | Accepting new patients |
Locations
9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353
6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235
9430 Park West Blvd
Ste 110
Knoxville, TN 37923
Phone (865) 690-7909
9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725
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
988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478
Interoperability endpoints
- tracy.pesut.p2@direct.toa.nextgenshare.com
Organizations & group practices 34
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.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1538153937
Foot and Ankle Surgery, TN
-
- Orthopaedic Surgery Physician
- Columbia, TN
- NPI 1033706197
-
- Orthopaedic Surgery Physician
- Gallatin, TN
- NPI 1063539096
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1164019246
-
- Orthopaedic Surgery Physician
- Franklin, TN
- NPI 1174655252
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Nolensville, TN
- NPI 1245032374
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1356937700
-
- Orthopaedic Surgery Physician
- Franklin, TN
- NPI 1366127102
-
- Orthopaedic Surgery Physician
- Alcoa, TN
- NPI 1447055371
-
- Orthopaedic Surgery Physician
- Dickson, TN
- NPI 1518445386
-
- Orthopaedic Surgery Physician
- Brentwood, TN
- NPI 1568122687
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Knoxville, TN
- NPI 1710935408
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1295751634",
"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": "865-694-7907"
},
{
"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": "865-560-8525"
}
],
"practiceLocations": [
{
"address_1": "576 Fort Loudoun Medical Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lenoir City",
"state": "TN",
"postal_code": "377725676",
"country_code": "US",
"telephone_number": "865-988-8667",
"fax_number": "865-988-8837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6484 Kingston Pike",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379194863",
"country_code": "US",
"telephone_number": "865-633-0235",
"fax_number": "865-602-7757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PESUT",
"first_name": "TRACY",
"middle_name": "A",
"name_prefix": "Ms.",
"name_suffix": "X",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TN",
"license": "39766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3332469",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.