Richard J Depersio, M.D.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

9089 Issued in TN

Practice address

7557A Dannaher Dr
Suite 210
Powell, TN 37849-3558

Phone

(865) 521-8050

Fax

(865) 544-5216

NPI assigned

Oct 24, 2006

Last updated

May 16, 2014By the provider in NPPES

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

University of Tennessee, HSC, College of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Knoxville Ear Nose and Throat Associates PCGroup PAC ID 0244126126, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdepersio@gkent.emadirect.md
• Direct secure messaging: richarddepersio@gkenta.allscriptsdirect.net

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.

• Greater Knoxville Ear, Nose and Throat Associates, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Powell, TN
  • NPI 1578647806
  Medicare reassignment Care Compare group NPD

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

• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• University Health System, Inc.

  dba University of Tennessee Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1457435794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 DANNAHER WAY",
            "address_2": "SUITE 210",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557A DANNAHER DR",
            "address_2": "SUITE 210",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPERSIO",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TN",
            "license": "9089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710126",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T Dawson, M.D.
• Paul Ivan Dcruz, MD
• Rhea W. Dean Jr., MD
• Sean Martin Delair, M.D.
• Elise Cheng Denneny, MD
• Dermatology Specialists PLLC (Greater Knoxville Dermatology)
• Devils Ractrack Holdings, Inc (Seniors Helping Seniors - Knoxville)
• Joshua Deweese
• Megan Dick-Alvarez, DO
• Disney Pharmacy Services Inc (Vaughn Pharmacy)

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Powell, TN
• Providers in Powell, TN by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.