Individual provider Active NPI

Roger N Passmore, MD

  • Orthopaedic Surgery Physician
  • Hermitage, TN
National Provider Identifier
1861482259
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32048 Issued in TN
Practice address
5651 Frist Blvd
Suite 200
Hermitage, TN 37076-2054
Phone
(615) 885-0200
Fax
(615) 885-0267
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 32048 TN
Orthopaedic Surgery Physician 207X00000X 32048 TN Primary

Addresses

Primary practice location

5651 Frist Blvd
Suite 200
Hermitage, TN 37076-2054

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 855-6033

Other identifiers 4

IdentifierTypeStateIssuer
3863282MedicaidTN
4013081OtherTNBCBS
4347485OtherTNBCBS
Q000313MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100629000462 TN Practitioner - Orthopedic Surgery 9234216789 Reassigns benefits to 1 organization
I20250422003456 ID Practitioner - Undersea and Hyperbaric MedicinePractitioner - Orthopedic Surgery 9234216789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric MedicineAlso: Orthopedic Surgery
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

777 Hospital Way
Pocatello, ID 83201-5175

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC Current Accepting new patients
Advanced Diagnostic Imaging, PC Orthopaedic Surgery CurrentSince Jun 1, 2013 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Nov 30, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Nov 30, 2022 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 1, 2013 Accepting new patients
Pocatello Health Services, LLC CurrentSince Apr 8, 2025 Accepting new patients
Pocatello Health Services, LLC CurrentSince Apr 8, 2025 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC Orthopaedic Surgery PastSince Aug 31, 2001 Accepting new patients

Locations

777 Hospital Way
Ste G1
Pocatello, ID 83201
Phone (208) 234-2001

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

5651 Frist Blvd
Ste 200
Hermitage, TN 37076
Phone (615) 885-0200

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: rpassmore1092213@ahs.direct-ci.com

Organizations & group practices 8

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 2

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1861482259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-855-6033",
            "fax_number": "615-296-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD",
            "address_2": "SUITE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762054",
            "telephone_number": "615-885-0200",
            "fax_number": "615-885-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "ROGER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TN",
            "license": "32048",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "32048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3863282",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4013081",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4347485",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000313",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.