GET BACK IN THE GAME with Sports Medicine and Orthopedic Urgent Care on Saturdays from 8 a.m. to 12 p.m. Tier 1 North at 335 West Spring St., Cookeville.


Specialists Dr. Walter Jermakowicz, Neurosurgery and Dr. David Burstedt, Interventional Pain Management to Tier 1 Institute.

Convenient, On-Site Dedicated MRI

Patients can now enjoy the added convenience of an on-site MRI and same-day scheduling.

Leading-Edge Orthopedic and Related Care

A comprehensive, leading-edge approach to the prevention, assessment, treatment and rehabilitation of musculoskeletal injuries.

State-of-the-Art Neurosurgery

Tier 1 Neurosurgery brings state-of-the-art neurosurgical techniques to the Upper Cumberland and surrounding areas.

Tier 1 Crossville Clinic

Now, patients in Crossville seeking exceptional orthopedic, neurosurgical spine and sports injury care have little reason to look to larger cities.

Patient Portal Login

Complete new patient paperwork, update old forms, schedule appointments and pay bills.

Education Topics

Learn more about our specialties and procedures.

Medical Records Request

Fill out this form to request important medical records and information


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.


Meet Our Team of Experts


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


At Tier 1, we bring together the best in orthopedic, neurosurgical, and nonsurgical spine and sports care right here in the Upper Cumberland.