Active NPI
Robert Paul Unkefer, MD
- MOHS-Micrographic Surgery Physician
- Vonore, TN
National Provider Identifier
1861579989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 35046
- Practice address
- 125 Mountain View Dr Ste 300
Vonore, TN 37885-2666 - Phone
- (423) 884-2971
- Fax
- (423) 884-2984
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35046 | TN | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 35046 | TN | Primary |
Addresses
Primary practice location
125 Mountain View Dr Ste 300
Vonore, TN 37885-2666
Mailing address
125 Mountain View Dr Ste 300
Vonore, TN 37885-2666
Phone (423) 884-2971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3864382 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111104000429 | TN | Practitioner - Micrographic Dermatologic Surgery (MDS) | 0941325716 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Baylor College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
125 Mountain View Dr
Suite 300
Vonore, TN 37885-2666
Phone (423) 884-2971
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 58 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1893 |
| Removal of skin cancer | 332 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 824 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Dermatology Group, PC | Dermatology | Current | Accepting new patients |
| Unkefer Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| East Tennessee Medical Group, PC | Mohs-Micrographic Surgery | Past | Accepting new patients |
Locations
133 Associates Blvd
Alcoa, TN 37701
Phone (865) 233-7351
125 Mountain View Dr
Ste 300
Vonore, TN 37885
Phone (423) 884-2170
Interoperability endpoints
- runkefer@unkeferderm.emadirect.md
- runkefer872766@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
Mohs-Micrographic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1861579989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MOUNTAIN VIEW DR STE 300",
"city": "VONORE",
"state": "TN",
"postal_code": "378852666",
"telephone_number": "423-884-2971",
"fax_number": "423-884-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MOUNTAIN VIEW DR STE 300",
"city": "VONORE",
"state": "TN",
"postal_code": "378852666",
"telephone_number": "423-884-2971",
"fax_number": "423-884-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNKEFER",
"first_name": "ROBERT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "35046",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TN",
"license": "35046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3864382",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vonore, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.