KRISTEN BETH DETTORRE (MD) – Emergency Medicine Physician, NPI 1154478964
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
Provider Addresses for KRISTEN BETH DETTORRE (MD)
1411 W Baddour Pkwy
Lebanon, TN 370872513
Phone: (615) 875-6415
Type: Location
2835 Highway 231 N
Shelbyville, TN 371607327
Phone: (615) 875-6415
Type: Location
3601 TVC
NASHVILLE, TN 372320001
Phone: (615) 322-3000
Type: Mailing
1801 N Jackson St
Tullahoma, TN 373882201
Phone: (615) 875-6415
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 322-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090615000710 | I | Emergency Medicine | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 97 | 97 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 35 | 35 | $0 |
Insurance plans in this area (ZIP 37087)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NM | |
| Emergency Medicine | MA | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Physician Assistant | IL | |
| Pediatric Medicine | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN |
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