New Article by Dr. Srour!

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.

Tier 1 is Happy to Welcome Dr. Jonathon Srour, DPM, AACFAS!

Dr. Srour joined the Tier 1 group February 1, 2023 as a double fellowship-trained podiatric foot and ankle surgeon.

Tier 1 is Happy to Welcome Dr. Heather Taillac, MD!

Dr. Taillac joined the Tier 1 group November 1, 2022 as a board-eligible, fellowship-trained orthopedic surgeon who specializes in upper extremity surgery.

Tier 1 is Happy to Welcome Dr. Michael Pahl

Dr. Pahl joined the Tier 1 group May 1, 2021 as a board certified Orthopedic Surgeon and Sports Medicine.  

New Article by Dr. Juels!

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.

Tier 1 Welcomes Neurosurgeon Walter Jermakowicz, MD, PHD, to Our Staff

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

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

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 […]

Tier 1 Protecting Our Patients

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 […]

Congratulations Dr. Juels On Writing Your New Article

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 […]

Tier 1 Now Offers Crossville Patients Care

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 […]

Tier 1 Gets Dedicated MRI

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. […]

Tier 1 Neurosurgery Comes to Livingston

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 […]

Consumer Reports Ranks Cookeville Regional Second in State for Safety

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 […]

Institutes Where Tier 1 Neurosurgeons Trained Continue to Rank Among the Top in the Nation

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 […]

Tier 1 Orthopedic and Neurosurgical Institute Opens in Cookeville

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. […]

New Spine Procedure Available at Cookeville Regional

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