JOSEPH BRUCE EATHERLY (M.D.) – Specialist, NPI 1295744753

JOSEPH BRUCE EATHERLY (M.D.) is a healthcare provider. based in Oak ridge, Tennessee. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. MD0000013891 (TN). The NPI Number for JOSEPH BRUCE EATHERLY (M.D.) is 1295744753

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH BRUCE EATHERLY (M.D.)
NPI
1295744753
Phone
(865) 482-9633
Address
129 E DIVISION RD
Enumeration Date
5 August 2006
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8654831093
Graduation Year
1978 (48 years ago)
PAC ID
9133124928
Group Practice PAC ID
7618952706
Professional Enrollment ID
I20111018000700
Address ID
TN378306927OA800XXTPKE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

460 PATHOLOGY in TN

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Provider Addresses for JOSEPH BRUCE EATHERLY (M.D.)

  • 129, East Division Road, Jackson Square, Oak Ridge, Anderson County, East Tennessee, Tennessee, 37830, United States

    OAK RIDGE, TN 378306907

    Phone: (865) 482-9633

    Fax: (865) 482-9655

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $653.

Total Amount is formed as General ($653) + Research ($0) + Ownership ($0) = $653.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($573).

Total Amount

$653

General + Research + Ownership

Payments

21

Total payment records

General Amount

$653

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

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: 2011-10-18

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
I20111018000700IPathologyTNTBD

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
84153Psa (prostate specific antigen) measurement, total4,0212,768$0
84403Testosterone (hormone) level, total1,454914$0
88112Cell examination of specimen, selective cellular enhancement technique723641$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count643422$0
80053Blood test, comprehensive group of blood chemicals608393$0
View full utilization report →

Insurance plans in this area (ZIP 37830)

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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: 7618952706View full group profile
NameSpecialtyState
Physician AssistantTN
U R O L O G YTN
Nurse PractitionerFL
U R O L O G YTN
Physician AssistantMD
Diagnostic RadiologyTN
U R O L O G YMD
-TN
Nurse PractitionerTN
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

What NPI should I save for JOSEPH BRUCE EATHERLY (M.D.)?
Save NPI 1295744753 if you need a stable reference for JOSEPH BRUCE EATHERLY (M.D.).
Is JOSEPH BRUCE EATHERLY (M.D.) active in the national directory?
JOSEPH BRUCE EATHERLY (M.D.)'s public NPI profile is in an active state.
What field does JOSEPH BRUCE EATHERLY (M.D.) work in?
You can think of JOSEPH BRUCE EATHERLY (M.D.) as practicing within Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for JOSEPH BRUCE EATHERLY (M.D.)?
We surface Oak Ridge, Tennessee for JOSEPH BRUCE EATHERLY (M.D.) based on available NPPES addresses.
What if Oak Ridge, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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