The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.
The team at Tier 1 Orthopedic and Neurosurgical Institute is dedicated to providing the highest level of patient-centered care. As the first multispecialty practice of its kind in the region, they offer a comprehensive array of treatment options at five state-of-the-art facilities throughout the Upper Cumberland Region.

Michael Pahl, M.D.
Excellent doctor. Absolutely agree with his diagnosis and decision of treatment. Wish I would have visited earlier.
Heather Taillac, M.D.
Very thorough with diagnosis and options for arthritis in hand/fingers. Answered all my questions and concerns.
Kenneth Grinspun, M.D.
Thorough and not only handled the situation. He sent a photo of my wound to Dr Roberts, who had an antibiotic called in.
Kenneth Grinspun, M.D.
Listen to my issue and explained everything so u could understand.
Kenneth Grinspun, M.D.
Great visit. Very attentive to my husband’s pain.
Christopher A. Juels, D.P.M.
Professional and thorough.
Michael Pahl, M.D.
Very professional, and knowledgeable in his field
Joseph Jestus, M.D.
Great visit. All questions answered and great plan for recovery.
David Burstedt, M.D.
Very friendly and willing to listen. I was really appreciate the fact that he don't like to operate!
Kenneth Grinspun, M.D.
Very concerned and knowledgeable. Hopefully hevhas me on my way to recovery.