Individual provider Active NPI

Jonathan C. Shaver, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lenoir City, TN
National Provider Identifier
1689680118
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
44482 Issued in TN
Practice address
576 Fort Loudoun Medical Center Dr Ste 100
Lenoir City, TN 37772-5676
Phone
(865) 988-8667
Fax
(865) 988-8837
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 44482 TN Primary

Addresses

Primary practice location

576 Fort Loudoun Medical Center Dr Ste 100
Lenoir City, TN 37772-5676

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153

Other practice location 1

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Phone (865) 690-4861

Other identifiers 1

IdentifierTypeStateIssuer
1515014MedicaidTN

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
I20090723000120 TN Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 9133271042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Tennessee, HSC, College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

1819 Clinch Ave
Knoxville, TN 37916-2435

576 Ft Loudoun Med Ctr Dr
Suite 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667

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

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
Hip replacement1-10
Knee replacement49
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44482TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery Current Accepting new patients
Tennessee Orthopaedic Clinics PC Orthopaedic Surgery CurrentSince Aug 10, 2009 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA Orthopaedic Surgery Past Accepting new patients

Locations

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

9430 Park West Blvd
Ste 110
Knoxville, TN 37923
Phone (865) 690-7909

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

1819 Clinch Ave
Ste 100
Knoxville, TN 37916
Phone (865) 524-5305

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: jonathanc.shaver.p2@direct.toa.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1689680118",
    "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": "865-243-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FORT LOUDOUN MEDICAL CENTER DR STE 100",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725676",
            "telephone_number": "865-988-8667",
            "fax_number": "865-988-8837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Park West Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234205",
            "country_code": "US",
            "telephone_number": "865-690-4861",
            "fax_number": "865-693-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JONATHAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "44482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515014",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.