Douglas Estey, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1404 Issued in TN

Practice address

441 Parkway
Suite 2
Sevierville, TN 37862-3469

Phone

(865) 774-4440

Fax

(865) 774-4868

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Leconte Orthopedics, PLLCGroup PAC ID 8325266141, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Merit-based Incentive Payment System (MIPS)

Final score

67.47 of 100Reported as individual

Quality

47.94

Promoting interoperability

87

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Leconte Orthopedics, PLLC

  • Orthopaedic Surgery Physician
  • Sevierville, TN
  • NPI 1235552381
  Medicare reassignment Care Compare group Authorized official
• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  Physician Assistant

  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD

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

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1366405185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PARKWAY",
            "address_2": "SUITE 2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623469",
            "telephone_number": "865-774-4440",
            "fax_number": "865-774-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PARKWAY",
            "address_2": "SUITE 2",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623469",
            "telephone_number": "865-774-4440",
            "fax_number": "865-774-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEY",
        "first_name": "DOUGLAS",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3665216",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Robin Ellis, PHARMD
• Empowerme Rehabilitation, LLC
• Kristen Endzel, FNP
• English Mountain Recovery
• Abigail Denise Eslinger
• Charlie Etherton, PAC
• Eye Care Associates of Sevier County
• Destin Nichole Faria, MHS, RD, LDN
• Fast Pace Medical Clinic PLLC
• Jason Lynn Fee, PA

• Physician Assistant in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.

Verify at the official NPI Registry.