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.

Heather Taillac, M.D.
Extremely knowledgeable and friendly. Explained things extremely well and mademe feel comfortable.
Michael Pahl, M.D.
I’ve requested your notes from my appointment on February 5, 2026. I have access to the Athena portal. I would really appreciate the opportunity to understand my diagnosis. Thank you in advance.
Michael Pahl, M.D.
I was very favorably impressed with my entire recent experience with Tier 1. Dr. Pahl readily answered all of my questions, and he took the time to explain everything to me thoroughly. He is a friendly individual, and his 'bedside' manner is quite comforting.
Brian Huff, D.O.
Really nice explained everything we didn’t leave wondering what had just been said comfortable wasn’t nervous will recommend Dr Huff to our family and friends
Adrian Vinas, M.D.
Dr. Vinas was professional, knowledgeable and attentive. I did not feel at all rushed during the appointment. He explained the plan of treatment and made sure I understood before leaving.
Walter Jermakowicz, M.D.
Very thorough, explained everything, very nice
David Burstedt, M.D.
Always a very personal doctor; keep up the good ”bedside” manners…..
Michael Pahl, M.D.
Mike described my injury and gave several options for repair. Would recommend.
Kenneth Grinspun, M.D.
I've known him for years and he's honest and upfront
Matthew Finn, PA
Excellent. Everything explained thoroughly, what comes next and depending on results where we go from there.