Individual provider Active NPI

Tracy A Pesut X, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Knoxville, TN
National Provider Identifier
1295751634
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
39766 Issued in TN
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

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3332469MedicaidTN

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
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 358 clinicians

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 Home health agency, Knoxville, TN, CCN 447312
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • 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
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

LicenseStateTypeSpecialty
39766TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA Foot and Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Aug 1, 2005 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Aug 1, 2005 Accepting new patients
Tennessee Orthopaedic Clinics PC Current Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 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

  • Direct secure messaging: 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.

View all 34

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.