Active NPI
Donald M Sandercock II, DO
- Orthopaedic Surgery Physician
- Lenoir City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1736
- Practice address
- 401 Town Creek Rd E Ste 101
Lenoir City, TN 37772-5612 - Phone
- (865) 271-6160
- Fax
- (865) 374-1090
- NPI assigned
- Nov 7, 2005
- Last updated
- Oct 8, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036-121694 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 1736 | TN | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 5101013131 | MI |
Addresses
Primary practice location
401 Town Creek Rd E Ste 101
Lenoir City, TN 37772-5612
Mailing address
401 Town Creek Rd E Ste 101
Lenoir City, TN 37772-5612
Phone (865) 271-6160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q106480 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sandercock.donald@covenanthealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 Health Ctr Dr
Suite 100
Mattoon, IL 61938-4607
Phone (217) 238-3435
111 Clyde St
Loudon, TN 37774-1600
Phone (865) 458-1554
401 Town Creek Rd E
Suite 101
Lenoir City, TN 37772-5612
Phone (865) 271-6160
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1736 | TN | MD | Registered Dietitian |
| 036-121694 | IL | MD | Orthopaedic Surgery Physician |
| 5101013131 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Past | Accepting new patients | |
| Orthopaedic Center of Greeneville | Orthopaedic Surgery | Past | Accepting new patients |
| Crossville Medical Group PA | Past | Accepting new patients |
Locations
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1004 Health Center Dr
Ste 100
Mattoon, IL 61938
Phone (217) 238-3435
1007 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-7400
1000 Health Center Dr
Ste 401
Mattoon, IL 61938
Phone (217) 258-2409
Dept 888179
Knoxville, TN 37995
1400 Centerpoint Blvd
Ste 158
Knoxville, TN 37932
401 Town Creek Rd E
Ste 101
Lenoir City, TN 37772
Phone (865) 271-6160
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Interoperability endpoints
- sandercock.donald@covenanthealth.cernerdirect.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Orthopaedic Surgery
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Multi-Specialty Clinic/Center
- Crossville, TN
- NPI 1053414698
-
- Orthopaedic Surgery Physician
- Greeneville, TN
- NPI 1548347396
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
dba FCH Physician Billing
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1891776068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 TOWN CREEK RD E STE 101",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725612",
"telephone_number": "865-271-6160",
"fax_number": "865-374-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 TOWN CREEK RD E STE 101",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725612",
"telephone_number": "865-271-6160",
"fax_number": "865-374-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERCOCK",
"first_name": "DONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036-121694",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "1736",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101013131",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q106480",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sandercock.donald@covenanthealth.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "401 Town Creek Rd E Ste 101",
"city": "Lenoir City",
"state": "TN",
"country_code": "US",
"postal_code": "377725612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.