NPIMap

Individual provider Active NPI

David K. Deboer, MD

  • Orthopaedic Surgery Physician
  • Nashville, TN
National Provider Identifier
1942265400
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27059 Issued in TN
Practice address
2400 Patterson St
Suite 100
Nashville, TN 37203-1562
Phone
(615) 342-0038
Fax
(615) 324-1752
NPI assigned
Apr 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 27059 TN Primary

Addresses

Primary practice location

2400 Patterson St
Suite 100
Nashville, TN 37203-1562

Mailing address

2400 Patterson St
Suite 100
Nashville, TN 37203-1562
Phone (615) 342-0038

Other identifiers 1

IdentifierTypeStateIssuer
3091645OtherBLUE CROSS/BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAVID.DEBOER@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000647 TN Practitioner - Orthopedic Surgery 7416931787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Joint Replacement Institute LLCGroup PAC ID 1658693015, 36 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

107 Natchez Park Dr
Suite 202
Dickson, TN 37055-9013
Phone (615) 342-0038

1722 E Reelfoot Ave
Union City, TN 38261-6050

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-2600

2400 Patterson St
Suite 100
Nashville, TN 37203-2385
Phone (615) 342-0038

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
85.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27059TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Joint Replacement Institute, LLC Orthopaedic Surgery CurrentSince Nov 13, 2014 Accepting new patients
Ucsc LLC Current Accepting new patients
Northwest TN Surgery Center, LLC Current Accepting new patients
Nashville Surgicenter, LLC PastSince Aug 13, 2020 Accepting new patients
Southern Sports Medicine and Orthopaedic Center, P.C. Past Accepting new patients

Locations

107 Natchez Park Dr
Ste 202
Dickson, TN 37055

3053 Medical Center Pkwy
Ste F
Murfreesboro, TN 37129

2400 Patterson St
Ste 100
Nashville, TN 37203

1722 E Reelfoot Ave
Ste 1
Union City, TN 38261
Phone (731) 885-0085

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942265400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-342-0038",
            "fax_number": "615-324-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-342-0038",
            "fax_number": "615-324-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "DAVID",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "27059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "3091645",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAVID.DEBOER@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St",
            "address_2": "SUITE 100",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.