Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790769974 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Alastair Reardon , MD

Specialist • Greeneville, TN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Reardon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005
NPI Deactivation Date August 22, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Reardon, MD was a registered Specialist practicing in Greeneville, TN. Throughout an active medical career spanning 14 years, Dr. Reardon provided care at the practice location at 1410 TUSCULUM BLVD until profile deactivation on 2019-08-22.

Historical Medicare Part B clinical services included urinalysis, manual test, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1410 Tusculum Blvd
Suite 1300

Greeneville, TN 377454286

Telephone 4237877050
Fax 4237877059
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Greeneville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Greeneville, TN (784 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
37 32 $8.00 $3.41
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
33 33 $55.00 $39.91
99213 Established patient office or other outpatient visit, typically 15 minutes
33 22 $90.00 $69.59
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
30 30 $75.00 $35.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 12 $70.00 $41.92

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN MD14590

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Joe Mottern , FNP

Nurse Practitioner

NPI 1043257843

Family Nurse Practitioner

NPI 1093726085

Doctor of Medicine (M.D.)

Kim Nuss , PA-C

Physician Assistant

NPI 1215939517

Physician Assistant (Certified)

NPI 1275508673

Doctor of Medicine (M.D.)

NPI 1295196905

Doctor of Audiology

Dr. Anil Tumkur , MD

Internal Medicine - Hematology & Oncology

NPI 1346288727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 22, 2019

Record deactivated on August 22, 2019

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2011

Registered at 1410 TUSCULUM BLVD, SUITE 1300, GREENEVILLE, TN 377454286 (Tel: 4237877050)

📍
Updated Business Mailing Address January 25, 2011

Registered at 1410 TUSCULUM BLVD, SUITE 1300, GREENEVILLE, TN 377454286 (Tel: 4237877050)

👤
Provider Name / Credentials Updated January 25, 2011

Recorded as PETER REARDON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Specialist (License #MD14590 in TN)

🟢
Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Peter Reardon. Be the first to share your experience!

Sign in to leave a review for Dr. Peter Reardon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790769974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: January 25, 2011
Deactivation Date: August 22, 2019

Mailing Address

1410 Tusculum Blvd, Suite 1300

Greeneville, TN 377454286

Phone: 4237877050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.