Active NPI 1073505962 Individual Practitioner Male Practitioner

Dr. Robert J Wilmoth , MD

Surgery • Tazewell, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wilmoth, MD is a certified Surgery practicing in Tazewell, TN. With approximately 25 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 2001, Dr. Wilmoth delivers high-quality medical care to the local community at 1610 TAZEWELL RD.

Dr. Wilmoth is affiliated with Preferred Surgical Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1610 Tazewell Rd
Suite 301

Tazewell, TN 37879

Telephone 4236264288

Fax 4236261101

Associated Practice Facility / Clinic

🏢 Drs Rose & Thomas Facility NPI 1891741914

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tazewell, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs Matches City Avg

City Avg: 25.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Tazewell, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilmoth (25 Years) 25 Yrs

Tazewell Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	140	$175.00	$80.35
17003 Destruction of precancer skin growth, 2-14 growths	134	24	$19.14	$5.69
17000 Destruction of skin 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 up to 14 skin 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

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	126	$175.00	$82.68
17003 Destruction of precancer skin growth, 2-14 growths	162	23	$19.00	$6.03
17000 Destruction of skin growth	46	28	$195.00	$55.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$261.00	$100.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$858.00	$86.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$104.00	$51.97
17110 Destruction of up to 14 skin growths	29	25	$264.00	$101.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1333.00	$228.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$985.00	$157.16
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1168.00	$191.00
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$985.00	$168.34
76536 Ultrasound of head and neck	12	12	$287.00	$100.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	126	$175.00	$84.67
17003 Destruction of precancer skin growth, 2-14 growths	136	32	$19.00	$6.13
17000 Destruction of skin growth	81	41	$195.00	$53.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$261.00	$103.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	35	$104.00	$51.28
17110 Destruction of up to 14 skin growths	37	28	$264.00	$98.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	34	$858.00	$85.45
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$985.00	$169.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1333.00	$239.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$262.00	$116.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$406.00	$150.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$985.00	$172.51
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$985.00	$161.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	150	$175.00	$84.73
17000 Destruction of skin growth	81	45	$195.00	$55.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	69	$858.00	$85.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$261.00	$105.68
17003 Destruction of precancer skin growth, 2-14 growths	62	34	$19.00	$5.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$262.00	$122.47
17110 Destruction of up to 14 skin growths	38	34	$264.00	$100.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	24	$1333.00	$240.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$104.00	$50.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$406.00	$152.89
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$985.00	$170.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1866.00	$648.05
76536 Ultrasound of head and neck	12	12	$287.00	$106.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$985.00	$175.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	166	$175.00	$67.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$261.00	$96.77
17000 Destruction of skin growth	66	44	$195.00	$48.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	55	$858.00	$83.03
17003 Destruction of precancer skin growth, 2-14 growths	48	33	$19.00	$5.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	38	$104.00	$39.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	35	$262.00	$95.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$406.00	$149.98
17110 Destruction of up to 14 skin growths	34	27	$264.00	$99.22
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$985.00	$162.48
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$985.00	$164.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$1333.00	$223.22
43246 Insertion of stomach tube using a flexible endoscope	14	13	$662.00	$185.49
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1866.00	$601.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	307	216	$175.00	$67.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$261.00	$97.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	109	105	$858.00	$90.57
17000 Destruction of skin growth	103	65	$195.00	$52.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	79	$262.00	$99.03
17003 Destruction of precancer skin growth, 2-14 growths	74	47	$19.00	$4.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	54	$105.13	$40.57
17110 Destruction of up to 14 skin growths	63	46	$264.00	$96.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$406.00	$150.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$513.00	$186.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$1333.00	$225.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$985.00	$171.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$355.00	$132.48
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1890.58	$656.79
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$1168.00	$169.01
43762 Replacement of stomach stoma tube	18	14	$558.00	$32.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$348.00	$125.89
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$985.00	$159.87
45380 Biopsy of large bowel using an endoscope	14	14	$1179.00	$165.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$510.00	$188.85
76536 Ultrasound of head and neck	13	13	$287.00	$100.71
43249 Balloon dilation of esophagus using an endoscope	12	11	$460.00	$128.70
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$180.00	$68.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	173	$175.00	$64.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	80	$262.00	$95.33
17000 Destruction of skin growth	77	49	$195.00	$53.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	73	$858.00	$83.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$261.00	$94.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$406.00	$145.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	48	$104.00	$38.42
17003 Destruction of precancer skin growth, 2-14 growths	53	33	$19.00	$4.50
17110 Destruction of up to 14 skin growths	27	25	$264.00	$92.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	23	$1333.00	$225.70
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$985.00	$164.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$355.00	$128.74
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$1168.00	$174.39
10022 Fine needle aspiration using imaging guidance	16	12	$345.00	$122.51
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$985.00	$168.24
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$985.00	$158.57
45380 Biopsy of large bowel using an endoscope	12	12	$1179.00	$157.23
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$478.00	$52.66
76536 Ultrasound of head and neck	12	11	$287.00	$100.43
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1908.36	$629.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$510.00	$183.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	178	$175.00	$63.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	92	$104.00	$37.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$261.00	$92.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	87	86	$858.00	$83.30
17000 Destruction of skin growth	76	52	$195.00	$51.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	50	$262.00	$93.12
17003 Destruction of precancer skin growth, 2-14 growths	47	34	$19.00	$4.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$1333.00	$227.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$406.00	$143.83
17110 Destruction of up to 14 skin growths	29	23	$264.00	$94.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	20	$51.00	$17.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	12	$186.00	$64.18
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	24	24	$1168.00	$144.78
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$985.00	$149.63
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$985.00	$162.26
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$180.00	$65.29
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$985.00	$153.08
76536 Ultrasound of head and neck	11	11	$287.00	$97.98

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License 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

State License KY 39687

Hospital & Practice Group Affiliations

Preferred Surgical Associates

705 N 12th St, Middlesboro, KY 409652067

Phone: 6063027102

Preferred Surgical Associates

1610 Tazewell Rd, Tazewell, TN 378793648

Phone: 4236264288

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Carroll Rose , MD

Surgery

NPI 1407857352

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2010

Registered at 1610 TAZEWELL RD, SUITE 301, TAZEWELL, TN 37879 (Tel: 4236264288)

📍

Updated Business Mailing Address April 15, 2010

Registered at PO BOX 1349, NEW TAZEWELL, TN 378251349 (Tel: 4236264288)

👤

Provider Name / Credentials Updated April 15, 2010

Recorded as ROBERT WILMOTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2010

Surgery (License #40079 in TN)

🟢

Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

Po Box 1349

New Tazewell, TN 378251349

Phone: 4236264288

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

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