Tier 1 Expert Physicians
Our highly trained physicians hail from prestigious universities and medical centers throughout the U.S.
Patient Portal Login
Complete new patient paperwork, update old forms, schedule appointments and pay bills.
Learn more about our specialties and procedures.
Medical Records Request
Fill out this form to request important medical records and information.
Our Team of Experts
Dr. Kenneth A. Grinspun
Kenneth Grinspun is a knee and shoulder specialist. His interests include robotic total knee replacements, arthroscopic rotator cuff and knee ligament repairs.
Dr. James D. McKinney
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.
Dr. Gregory J. Roberts
Greg Roberts is a native of the Upper Cumberland region, having grown up in Celina, Tennessee.
Dr. John M. Turnbull
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.
Dr. Shawn Stachler
Dr. Shawn Stachler earned a Bachelor of Science degree in Mechanical Engineering from Purdue University.
Dr. Christopher Juels
Dr. Christopher Juels, DPM is a fellowship trained foot and ankle surgeon who provides specialized expertise in total ankle replacements.
Dr. Michael A. Pahl
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.
Dr. Walter Jermakowicz
Dr. Jermakowicz, MD, PhD, received his medical degree, as well as a doctor of philosophy in neuroscience, from Vanderbilt University School of Medicine in 2012.
Dr. Joseph A. Jestus
Dr. Joseph A. Jestus, a native of Chicago, Illinois., received his medical degree in 1991 from the University of Illinois College of Medicine.
Dr. Derek Worley
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.
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.
Tier 1 Education & Resources
Learn more about specific topics and procedures. Tell us how were doing or get up to date with the latest Tier 1 news.
The Tier 1 Institute Education section helps you to learn more about our specialties and procedures.
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.