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Dr. Robert J Wilmoth , MD

Surgery • Tazewell, TN

Active NPI 1073505962 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1610 Tazewell Rd, Suite 301
Tazewell, TN 37879

Call 4236264288 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1610 Tazewell Rd
Suite 301

Tazewell, TN 37879

Telephone 4236264288
Fax 4236261101
Organization at the Same NPPES Address or Phone
Drs Rose & Thomas Facility NPI 1891741914

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Preferred Surgical Associates. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2001

Medicare patients

320 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $50,162 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $38,153 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

968 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$33,025 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $42.23 across 2 records.

By nature of payment

  • Food and Beverage: $42.23 across 2 records.

Reporting-company totals

  • VERTEX PHARMACEUTICALS INCORPORATED: $24.82 across 1 record.
  • Ethicon Inc.: $17.41 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wilmoth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wilmoth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tazewell and Tennessee

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Surgery in Tennessee (2024, 357 clinicians with data). Median for this group: 200. Middle half: 97 to 353.

Too few clinicians listed under Surgery in Tazewell have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Surgery in Tennessee (2024, 357 clinicians with data). Median for this group: $27,307. Middle half: $10,569 to $45,912.

Too few clinicians listed under Surgery in Tazewell have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Surgery in Tennessee (2024, 357 clinicians with data). Median for this group: $20,139. Middle half: $8,076 to $35,557.

Too few clinicians listed under Surgery in Tazewell have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Surgery in Tennessee (2024, 326 clinicians with data). Median for this group: 86. Middle half: 38 to 147.

Too few clinicians listed under Surgery in Tazewell have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Surgery in Tennessee (2024, 326 clinicians with data). Median for this group: $563. Middle half: $181 to $2,980.

Too few clinicians listed under Surgery in Tazewell have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Surgery with a practice address in Tazewell, TN (632 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $42.23.

Manufacturer Payment Nature Product Type Amount ($)
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $24.82
Ethicon Inc.
Food and Beverage
In-kind items and services
Echelon; Endopath General $17.41

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
190 140 $175.00 $80.35
17003 Destruction of precancer skin growth, 2-14 growths
134 24 $19.14 $5.69
17000 Destruction of precancer skin growth, 1 growth
46 32 $195.00 $52.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
46 46 $261.00 $98.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
37 35 $858.00 $80.69
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
30 30 $985.00 $156.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
27 27 $1333.00 $220.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
21 18 $104.00 $49.45
17110 Destruction of skin growth, 1-14 growths
20 19 $264.00 $98.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 15 $262.00 $112.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
13 13 $985.00 $156.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope
11 11 $1866.00 $611.11

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Pantoprazole Sodium Pantoprazole Sodium 174 8,530 $1,271.92 53
Levothyroxine Sodium Levothyroxine Sodium 119 6,560 $984.76 24
Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates 114 216 $7,639.98 111
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 112 806 $730.56 94
Sucralfate Sucralfate 48 1,663 $2,578.86 18
Linzess Linaclotide 20 1,080 $17,558.42 —
Omeprazole Omeprazole 17 1,110 $190.49 11
Metronidazole Metronidazole 15 167 $174.29 15
Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl 15 73 $232.85 14
Fentanyl Fentanyl 13 390 $586.94 —
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 13 118 $42.60 —
Colesevelam Hcl Colesevelam Hcl 12 660 $961.67 —
Metoclopramide Hcl Metoclopramide Hcl 11 750 $71.44 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES TN 40079

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES KY 39687

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20060728000132

Enrollment State Jurisdiction

KY

PECOS Control ID

9931118569

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Preferred Surgical Associates

705 N 12th St, Middlesboro, KY 409652067

Phone: 6063027102

Preferred Surgical Associates

1610 Tazewell Rd, Tazewell, TN 378793648

Phone: 4236264288

Career & Practice History

NPI enumerated August 17, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1073505962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2005
Last Update: April 15, 2010
Sole Proprietor: Yes

More public profiles in Tennessee

Directory navigation, in NPI number order.

Mailing Address

Po Box 1349

New Tazewell, TN 378251349

Phone: 4236264288

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.