On December 4th, Dr. Taylor Dennison presented a seminar on Total Joint Replacement at the Fairfield Glade. This discussion focused on total hip and knee replacements. Dr. Dennison discussed his use of cutting edge technology to enhance outcomes and provide quicker recovery times. To schedule your appointment to discuss joint replacement with Dr. Dennision or […]
COOKEVILLE, Tenn. – Tier 1 Orthopedic and Neurosurgical Institute officially celebrated the grand opening of the new Tier 1 Surgery Center, a state-of-the-art outpatient facility designed to bring advanced surgical care closer to home for patients across the Upper Cumberland region. “Today marks an exciting milestone for our physicians, staff and the entire Upper […]
On October 31, 2025 Tier 1 Institute participated in Habitat for Humanity’s Cooking on the Square. The event raised over $200,000 for the Cookeville Habitat for Humanity. Dr. Roberts and Dr. Pahl each cooked batches of gumbo, with other physicians and staff serving the community. A great time was had by all. Tier 1 is […]
Dr. Brian Huff joined the Tier 1 group June 1, 2025 as an orthopedic surgeon who is board certified by the American Osteopathic Board of Orthopedic Surgery. He is zealous about helping his patients maintain their mobility; whether that is maintaining independence, or returning to their desired sport. He enjoys treating patients of all ages. Dr. […]
Dr. Adrian Vinas joined the Tier 1 group March 1, 2025 as a sports medicine physician at Tier 1 Institute’s Crossville location. The Tier 1 Orthopedic Urgent Care is open Monday-Friday 8 am – 5 pm. Walk-ins welcome.
Dr. Taylor Dennison joined the Tier 1 group in January 2025 as a fellowship-trained orthopedic surgeon who specializes in the treatment and diagnosis of injuries and conditions of the hip and knee including joint replacement and revision. He has specific expertise in a wide range of minimally invasive joint replacement techniques including direct anterior hip […]
Congratulations to Dr. Jonathon Srour on publishing a new article in Clinics in Podiatric Medicine & Surgery! The link below will take you to his article about a New Minimally Invasive Technique for Chronic Ankle Instability.
Dr. Srour joined the Tier 1 group February 1, 2023 as a double fellowship-trained podiatric foot and ankle surgeon.
Dr. Taillac joined the Tier 1 group November 1, 2022 as a board-eligible, fellowship-trained orthopedic surgeon who specializes in upper extremity surgery.
Dr. Pahl joined the Tier 1 group May 1, 2021 as a board certified Orthopedic Surgeon and Sports Medicine.
Congratulations to Dr. Christopher Juels on publishing a new article in The American College of Foot and Ankle Surgeons! The link below will take you to his article about custom total talus replacement as an option for failed ankle replacements. https://www.fastracjournal.org/article/S2667-3967(21)00114-2/fulltext
Tier 1 Welcomes Neurosurgeon Walter Jermakowicz, MD, PhD, to Our Staff COOKEVILLE – Tier 1 Neurosurgery is proud to welcome Dr. Walter Jermakowicz, MD, PhD, to our team of providers. He joins Dr. Joseph Jestus, a Mayo Clinic-trained neurosurgeon who started the neurosurgical program at Cookeville Regional Medical Center. Dr. Jermakowicz received his medical degree, as […]
Tier 1 Welcomes Interventional Pain Management Specialist David Burstedt, MD, PT COOKEVILLE – Tier 1 Orthopedic is proud to welcome Dr. David Burstedt, MD, PT, an interventional pain management specialist, to our team of physicians. After earning his master’s degree in physical therapy at Idaho State University, Dr. Burstedt completed his medical degree at Texas A&M […]
Tier 1 Now Offers Sports Medicine and Orthopedic Urgent Care on Saturdays COOKEVILLE – In March, Tier 1 Orthopedic set up an urgent care site at 335 W. Spring St. for patients needing urgent orthopedic and surgical podiatry needs from 8 a.m.-7 p.m. Monday-Friday. And now, we’re proud to announce that our urgent care facility will […]
COOKEVILLE – At Tier 1 we are here to treat your Orthopedic, Neurosurgical, Surgical Podiatry and Sports Medicine needs today during this unusual time and for years to come. To best comply with Social Distancing and help prevent the spread of the COVID 19 virus Tier 1 will implement screening for all patients. We are doing […]
Complications of En Bloc Osteochondral Talar Allografts and Treatment of Failures: Literature Review and Case Report – Chris Juels DPM Reoperation rates and complication rates can be high for patients receiving an osteochondral talar allograft transplant. Complications can include graft failure, delamination of the graft, arthrofibrosis, advancing osteoarthritis, nonunion of malleolar osteotomies, and partial… Read […]
Orthopedic, Neurosurgery Providers Available in One Convenient Location COOKEVILLE – Patients in Crossville now have little reason to look to larger cities for exceptional orthopedic, neurosurgical and nonsurgical spine and sports injury care. Tier 1’s providers are now seeing patients in their new Crossville clinic, located at 35 Taylor Avenue in Crossville. Open five days a […]
COOKEVILLE – Tier 1 patients can now enjoy the added convenience of an on-site MRI in the newly constructed Tier 1 annex across Spring Street from the main Tier 1 building. This addition allows patients to avoid having to fill out a second set of registration forms and get insurance pre-certification from an outside medical practice. […]
COOKEVILLE – In an effort to better serve the residents and referring physicians of Overton, Pickett and Clay counties, Tier 1 Neurosurgery is bringing its services to Livingston. Beginning October 9, Dr. Joseph Jestus will see patients at 310 Oak Street, across from Livingston Regional Hospital, from 1-4:30 p.m. every other Wednesday. For added convenience, Tier […]
COOKEVILLE – Cookeville Regional Medical Center, where Drs. Joseph Jestus and L.R. Rodriguez-Cruz of Tier 1 Neurosurgery perform delicate surgical procedures on the brain, spine, spinal cord, carotid artery and nervous system, was recently ranked no. 2 for safety out of 37 hospitals and medical centers in Tennessee by Consumer Reports. “We’re very glad, but not surprised, to know that […]
COOKEVILLE – When it comes to something as critical as brain and spine surgery, only the best-trained doctors will do. Fortunately, patients in Cookeville don’t have to travel to large cities to find them, because Tier 1’s two neurosurgeons ? Dr. Joseph Jestus and Dr. L.R. Rodriguez-Cruz – were trained at hospitals that continue to be […]
Practice Combines Three Specialties in One State-of-the-Art Facility COOKEVILLE, TN – The physicians of Upper Cumberland orthopedic, Cumberland Neurosurgery and UCOS Spine and Sports have joined to establish a multi-specialty medical facility in Cookeville, Tenn. The result – Tier 1 Orthopedic and Neurosurgical Institute – is the first one-stop facility of its kind in the region. […]
COOKEVILLE – The Spine Center, a new division at Cookeville Regional, offers new technology for back patients known as Minimal Access Spinal Technologies, or MAST. MAST makes minimally invasive procedures possible through the use of imaging systems
