DR. REBECCA S LAVELLE (M.D.) – Urology Physician, NPI 1104099662

DR. REBECCA S LAVELLE (M.D.) is a healthcare provider. based in Maryville, Tennessee. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. MD0000053291 (TN). The NPI Number for DR. REBECCA S LAVELLE (M.D.) is 1104099662

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA S LAVELLE (M.D.)
NPI
1104099662
Phone
(865) 273-1752
Address
103 W BROADWAY AVE
Enumeration Date
4 April 2008
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8659805260
Graduation Year
2008 (18 years ago)
PAC ID
1951602952
Group Practice PAC ID
6406844174
Professional Enrollment ID
I20181016003998
Address ID
TN378045807MA425XXPHYS301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

313 UROLOGY in TN

Provider Addresses for DR. REBECCA S LAVELLE (M.D.)

  • Blount Memorial Hospital Financial Operations Center, 101-103, West Broadway Avenue, Maryville, Blount County, Tennessee, 37801, United States

    MARYVILLE, TN 378014703

    Phone: (865) 273-1752

    Fax: (865) 273-1755

    Type: Mailing

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone:

    Type: Mailing

  • 425 BMH PHYSICIANS OFFICE BLDG

    MARYVILLE, TN 37804

    Phone: (865) 980-5260

    Fax: (865) 980-5261

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $2,236.

Total Amount is formed as General ($2,236) + Research ($0) + Ownership ($0) = $2,236.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($543).

Total Amount

$2,236

General + Research + Ownership

Payments

78

Total payment records

General Amount

$2,236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181016003998IUrologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit4,00017$0
J1644Injection, heparin sodium, per 1000 units1,26618$0
99214Established patient office or other outpatient visit, 30-39 minutes566293$0
81002Urinalysis, manual test328209$0
51798Ultrasound measurement of bladder capacity after voiding267207$0
View full utilization report →

Insurance plans in this area (ZIP 37801)

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Provider's Procedures

DR. REBECCA S LAVELLE (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYTN81002Urinalysis, manual test570244

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406844174View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
-TN
-TN
Certified Registered Nurse Anesthetist (Crna)SC
General Surgery, Vascular SurgerySC
-TN
N E U R O L O G YCA
Physician AssistantSC
Nurse PractitionerTN

Reviews

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Frequently asked questions

What identifier follows DR. REBECCA S LAVELLE (M.D.) across health systems?
The NPI 1104099662 uniquely identifies DR. REBECCA S LAVELLE (M.D.) in U.S. healthcare data.
Is DR. REBECCA S LAVELLE (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. REBECCA S LAVELLE (M.D.) as active.
What services align with DR. REBECCA S LAVELLE (M.D.)'s listing?
DR. REBECCA S LAVELLE (M.D.)'s public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. REBECCA S LAVELLE (M.D.)?
DR. REBECCA S LAVELLE (M.D.) is associated with Maryville, Tennessee in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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