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TIER 1 INSTITUTE
Tier 1 Orthopedic and
Neurosurgical Institute
The first multispecialty institute of its kind in the region, Tier 1 Orthopedic and Neurosurgical Institute came about when eight physicians from four separate specialties decided to join to offer their award-winning care in one state-of-the-art facility.
PHYSICIANS
Meet Our Team of Experts
Dr. Kenneth A. Grinspun
Orthopedics
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Dr. James D. McKinney
Orthopedics
Originally from South Alabama, Dr. James McKinney graduated from Auburn University in 1977. He then received his medical degree from the University of Alabama in 1981.
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Dr. Joseph Jestus
Neurosurgery
Dr. Joseph A. Jestus, a native of Chicago, Illinois., received his medical degree in 1991 from the University of Illinois College of Medicine.
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Dr. Gregory J. Roberts
Orthopedics
Greg Roberts is a native of the Upper Cumberland region, having grown up in Celina, Tennessee.
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Dr. John Turnbull
Orthopedics
Dr. John M. Turnbull is a native of Livingston, Tennessee. He returned home after extensive training to provide the residents of the Upper Cumberland with specialized orthopedic care.
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Dr. Shawn Stachler
Orthopedics
Dr. Shawn Stachler earned a Bachelor of Science degree in Mechanical Engineering from Purdue University and worked professionally as an engineer for three years earning a patent for one of his industrial fuel tank designs.
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Dr. Christopher Juels
FOOT AND ANKLE
Dr. Christopher Juels, DPM is a fellowship trained foot and ankle surgeon who provides specialized expertise in total ankle replacements, hindfoot and ankle reconstruction, foot and ankle trauma...
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Dr. Michael A. Pahl
Orthopedics
Dr. Michael A. Pahl is a board-certified orthopedic surgeon with subspecialty training in sports medicine. He performs arthroscopic, reconstructive and replacement surgery of the shoulder and knee.
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Dr. Derek Worley
SPORTS MEDICINE
Dr. Derek Worley is a native of the Upper Cumberland region, having grown up in Livingston, Tennessee. He attended the University of Tennessee where he majored in exercise science. Afterwards, he attended medical school at St. George’s University.
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Dr. David Burstedt
INTERVENTIONAL PAIN MANAGEMENT
Dr. David Burstedt, MD, PT, began his career in health care by earning a master’s degree in physical therapy from Idaho State University.
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RESOURCES
Tier 1 Education & Resources
Learn more about specific topics and prodedures, Tell us how were doing or get up-to-date with the latest Tier 1 news.
Education Center
The Tier 1 Institute Education section helps you to learn more about our specialties and procedures.
Satisfaction Survey
Tier 1 Orthopedic and Neurosurgical patient satisfaction survey. Tell us about your experience with Tier 1.
Convenient, On-Site MRI
Tier 1 patients can now enjoy the added convenience of an on-site MRI in the newly constructed Tier 1 annex.
Tier 1 Cookeville
Tier 1 North
Tier 1 Crossville
Information
At Tier 1, we bring together the best in orthopedic, neurosurgical, and nonsurgical spine and sports care right here in the Upper Cumberland.
Four Locations
Tier 1 in Cookeville
105 S. Willow Ave.
Cookeville, TN 38501
Tier 1 in Crossville
35 Taylor Ave.
Crossville, TN 38555
Tier 1 Cookeville North
335 West Spring Street
Cookeville TN, 38501
Tier 1 Physical Therapy
317 West Spring Street
Cookeville, TN 38501