Active NPI 1700990025 Individual Practitioner Male Practitioner

Charlie Etherton , PA-C

Physician Assistant • Sevierville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charlie Etherton, PA-C is a certified Physician Assistant practicing in Sevierville, TN. With approximately 26 years of clinical experience since completing medical education in 2000, Charlie Etherton delivers high-quality medical care to the local community at 1124 FOX MEADOWS BLVD.

Charlie Etherton is affiliated with Summit Medical Group, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1124 Fox Meadows Blvd
Suite 2

Sevierville, TN 378626927

Telephone 8654535530

Fax 8654532671

Associated Practice Facility / Clinic

🏢 Summit Medical Group, Pllc Facility NPI 1881770329

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sevierville, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +16.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

36 Specialists

Practicing in Sevierville, TN (3096 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etherton (26 Years) 26 Yrs

Sevierville Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,520	23	$0.50	$0.13
36415 Insertion of needle into vein for collection of blood sample	460	215	$16.00	$8.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	353	153	$230.00	$99.67
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	332	146	$54.00	$12.99
80053 Blood test, comprehensive group of blood chemicals	323	167	$21.00	$10.14
83036 Hemoglobin A1C level	260	125	$23.00	$9.31
80061 Blood test, lipids (cholesterol and triglycerides)	257	158	$32.00	$12.84
99213 Established patient office or other outpatient visit, typically 15 minutes	256	128	$158.00	$69.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	225	225	$330.00	$100.87
G0444 Annual depression screening, 5 to 15 minutes	221	221	$50.00	$14.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	151	116	$19.00	$7.57
84443 Blood test, thyroid stimulating hormone (TSH)	140	93	$40.00	$16.46
82570 Creatinine level to test for kidney function or muscle injury	77	69	$13.00	$5.01
82043 Urine microalbumin (protein) level	77	69	$32.00	$5.52
82607 Cyanocobalamin (vitamin B-12) level	55	43	$36.00	$14.51
82306 Vitamin d-3 level	55	46	$69.00	$29.01
90661 Influenza vaccine, trivalent derived from cell cultures	53	53	$39.62	$34.17
G0008 Administration of influenza virus vaccine	51	51	$43.43	$29.78
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	40	34	$16.00	$6.34
82728 Ferritin (blood protein) level	38	32	$32.00	$13.01
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$39.00	$11.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	25	$58.00	$11.11
83540 Iron level	36	29	$16.00	$6.34
84466 Transferrin (iron binding protein) level	36	29	$30.00	$12.19
83970 Parathormone (parathyroid hormone) level	29	23	$97.00	$40.45
G0103 Prostate cancer screening; prostate specific antigen test (psa)	28	28	$43.00	$18.92
84439 Thyroxine (thyroid chemical), free	24	18	$21.00	$8.84
84153 Psa (prostate specific antigen) measurement, total	23	19	$43.00	$18.02
81003 Automated urinalysis test	18	18	$6.00	$2.20
80048 Blood test, basic group of blood chemicals (calcium, total)	18	15	$17.00	$8.29
84100 Phosphate level	17	13	$11.00	$4.65
82746 Folic acid level	16	13	$35.00	$13.51
96127 Assessment of emotional or behavioral problems	15	13	$13.00	$3.46
84550 Uric acid level, blood	15	12	$11.00	$4.43
20610 Aspiration and/or injection of fluid from large joint	14	12	$128.00	$49.85
85652 Red blood cell sedimentation rate, to detect inflammation, automated	14	12	$9.00	$2.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$477.00	$222.56
94010 Test to measure expiratory airflow and volume	13	13	$82.00	$20.78
G0009 Administration of pneumococcal vaccine	11	11	$45.82	$29.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	532	279	$13.73	$8.20
99213 Established patient office or other outpatient visit, typically 15 minutes	376	175	$158.00	$69.29
80053 Blood test, comprehensive group of blood chemicals	352	196	$21.00	$10.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	292	150	$230.00	$100.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	289	289	$330.00	$101.03
G0444 Annual depression screening, 5 to 15 minutes	282	282	$50.00	$14.11
83036 Hemoglobin A1C level	269	139	$23.00	$9.45
80061 Blood test, lipids (cholesterol and triglycerides)	264	175	$32.00	$12.99
84443 Blood test, thyroid stimulating hormone (TSH)	159	106	$40.00	$16.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	141	112	$19.00	$7.61
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	90	70	$16.00	$6.34
82043 Urine microalbumin (protein) level	74	72	$32.00	$5.59
82570 Creatinine level to test for kidney function or muscle injury	74	72	$13.00	$5.02
82306 Vitamin d-3 level	68	57	$69.00	$28.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	65	$31.00	$21.54
G0008 Administration of influenza virus vaccine	64	64	$47.00	$28.44
J1030 Injection, methylprednisolone acetate, 40 mg	57	24	$8.00	$7.36
82607 Cyanocobalamin (vitamin B-12) level	46	37	$36.00	$14.78
81003 Automated urinalysis test	41	30	$6.00	$2.20
82728 Ferritin (blood protein) level	38	29	$32.00	$13.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	15	$58.00	$11.06
84466 Transferrin (iron binding protein) level	37	29	$30.00	$12.35
83540 Iron level	37	29	$16.00	$6.17
20610 Aspiration and/or injection of fluid from large joint	34	18	$128.00	$48.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	34	34	$477.00	$281.89
84439 Thyroxine (thyroid chemical), free	34	26	$21.00	$8.84
G0009 Administration of pneumococcal vaccine	34	34	$47.00	$28.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	34	34	$43.00	$18.36
93000 Routine ekg using at least 12 leads including interpretation and report	31	27	$39.00	$11.22
83970 Parathormone (parathyroid hormone) level	28	24	$97.00	$40.45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$476.00	$130.04
82746 Folic acid level	14	13	$35.00	$14.41
84153 Psa (prostate specific antigen) measurement, total	14	12	$43.00	$18.02
99442 Telephone medical discussion with physician, 11-20 minutes	14	11	$155.00	$71.08
90480 Admn sarscov2 vacc 1 dose	13	13	$115.00	$35.01
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	13	13	$80.00	$45.42
91320 Sarscv2 vac 30mcg trs-suc im	13	13	$377.00	$118.60
80048 Blood test, basic group of blood chemicals (calcium, total)	12	11	$17.00	$8.29
96127 Assessment of emotional or behavioral problems	12	11	$13.00	$4.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	463	230	$8.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	401	154	$156.21	$70.14
80053 Blood test, comprehensive group of blood chemicals	310	153	$21.00	$10.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	261	261	$330.00	$102.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	127	$221.82	$100.38
G0444 Annual depression screening, 5 to 15 minutes	241	241	$50.00	$14.14
83036 Hemoglobin A1C level	232	106	$23.00	$9.51
80061 Blood test, lipids (cholesterol and triglycerides)	225	143	$32.00	$13.05
84443 Blood test, thyroid stimulating hormone (TSH)	160	102	$40.00	$16.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	128	89	$19.00	$7.50
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	89	69	$16.00	$6.39
J1030 Injection, methylprednisolone acetate, 40 mg	68	29	$8.00	$6.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	24	$58.00	$11.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	64	63	$31.00	$20.42
G0008 Administration of influenza virus vaccine	62	61	$47.00	$27.16
82306 Vitamin d-3 level	55	48	$69.00	$28.69
82570 Creatinine level to test for kidney function or muscle injury	54	52	$13.00	$5.11
81003 Automated urinalysis test	54	35	$6.00	$2.22
82043 Urine microalbumin (protein) level	54	52	$32.00	$5.69
84439 Thyroxine (thyroid chemical), free	45	29	$21.00	$8.91
92567 Eardrum testing using ear probe	43	43	$34.00	$13.29
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	42	42	$81.00	$27.59
84466 Transferrin (iron binding protein) level	41	27	$30.00	$12.58
83540 Iron level	41	27	$16.00	$6.38
82728 Ferritin (blood protein) level	40	26	$32.00	$13.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	33	33	$43.00	$19.07
82607 Cyanocobalamin (vitamin B-12) level	31	26	$36.00	$14.82
83970 Parathormone (parathyroid hormone) level	30	26	$97.00	$40.66
93000 Routine ekg using at least 12 leads including interpretation and report	27	24	$39.00	$10.79
99442 Telephone medical discussion with physician, 11-20 minutes	24	18	$155.00	$71.94
96127 Assessment of emotional or behavioral problems	23	18	$13.00	$3.98
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	20	19	$105.00	$70.35
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	20	19	$27.00	$23.45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$476.00	$132.64
G0009 Administration of pneumococcal vaccine	14	14	$47.00	$27.19
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$477.00	$278.27
80048 Blood test, basic group of blood chemicals (calcium, total)	12	11	$17.00	$7.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	425	172	$153.31	$71.26
36415 Insertion of needle into vein for collection of blood sample	423	238	$8.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	300	161	$21.00	$10.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	272	272	$231.00	$104.77
G0444 Annual depression screening, 5 to 15 minutes	241	241	$42.00	$14.51
83036 Hemoglobin A1C level	231	111	$23.00	$9.71
80061 Blood test, lipids (cholesterol and triglycerides)	217	144	$32.00	$13.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	108	$218.22	$103.37
84443 Blood test, thyroid stimulating hormone (TSH)	149	104	$40.00	$16.80
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	120	94	$19.00	$7.77
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	81	67	$16.00	$6.47
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	81	81	$81.00	$27.72
92567 Eardrum testing using ear probe	81	81	$34.00	$13.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	73	73	$31.00	$20.25
G0008 Administration of influenza virus vaccine	72	72	$47.00	$15.75
J1030 Injection, methylprednisolone acetate, 40 mg	63	24	$8.00	$5.50
82728 Ferritin (blood protein) level	52	42	$32.00	$13.37
82043 Urine microalbumin (protein) level	48	47	$32.00	$5.78
82570 Creatinine level to test for kidney function or muscle injury	48	47	$13.00	$5.18
82306 Vitamin d-3 level	47	41	$69.00	$29.60
83540 Iron level	47	39	$16.00	$6.33
84466 Transferrin (iron binding protein) level	47	39	$30.00	$12.49
84439 Thyroxine (thyroid chemical), free	40	25	$21.00	$9.02
86803 Hepatitis c antibody measurement	39	39	$34.00	$14.27
81003 Automated urinalysis test	37	28	$6.00	$2.19
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$39.00	$11.69
G0103 Prostate cancer screening; prostate specific antigen test (psa)	28	28	$43.00	$19.31
82607 Cyanocobalamin (vitamin B-12) level	26	22	$36.00	$15.08
83970 Parathormone (parathyroid hormone) level	26	20	$97.00	$41.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	15	$58.00	$10.80
0031A Adm sarscov2 vac ad26 .5ml	21	21	$41.43	$34.73
80048 Blood test, basic group of blood chemicals (calcium, total)	18	16	$17.00	$7.99
83735 Magnesium level	17	12	$16.00	$6.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$333.00	$135.12
86140 Measurement C-reactive protein for detection of infection or inflammation	16	14	$13.00	$5.18
85652 Red blood cell sedimentation rate, to detect inflammation, automated	16	15	$9.00	$2.70
20610 Aspiration and/or injection of fluid from large joint	14	12	$128.00	$50.73
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$128.00	$73.24
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$39.00	$11.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	348	152	$135.28	$58.91
80053 Blood test, comprehensive group of blood chemicals	280	186	$21.29	$10.43
36415 Insertion of needle into vein for collection of blood sample	264	178	$8.00	$2.97
80061 Blood test, lipids (cholesterol and triglycerides)	249	180	$32.55	$13.22
83036 Hemoglobin A1C level	233	137	$23.34	$9.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	101	$198.50	$87.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$227.62	$92.65
84443 Blood test, thyroid stimulating hormone (TSH)	140	98	$40.66	$16.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	125	100	$19.00	$7.67
G0444 Annual depression screening, 5 to 15 minutes	120	120	$40.33	$14.43
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	78	72	$16.00	$6.43
82306 Vitamin d-3 level	59	53	$70.15	$29.43
82728 Ferritin (blood protein) level	54	36	$32.81	$13.52
J1030 Injection, methylprednisolone acetate, 40 mg	52	21	$7.69	$6.06
83540 Iron level	49	33	$16.00	$6.42
84466 Transferrin (iron binding protein) level	46	31	$30.39	$12.66
82570 Creatinine level to test for kidney function or muscle injury	34	34	$13.00	$5.14
82043 Urine microalbumin (protein) level	34	34	$32.71	$5.74
82607 Cyanocobalamin (vitamin B-12) level	33	30	$36.36	$14.97
G0103 Prostate cancer screening; prostate specific antigen test (psa)	31	31	$43.58	$19.20
84439 Thyroxine (thyroid chemical), free	30	21	$21.47	$8.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	19	$58.97	$11.36
81003 Automated urinalysis test	27	23	$6.00	$2.22
80048 Blood test, basic group of blood chemicals (calcium, total)	26	22	$17.00	$7.78
84153 Psa (prostate specific antigen) measurement, total	25	22	$43.40	$18.32
83970 Parathormone (parathyroid hormone) level	23	19	$97.87	$41.10
83735 Magnesium level	21	20	$16.43	$6.64
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$39.00	$13.46
80069 Kidney function blood test panel	18	11	$17.00	$8.59
84550 Uric acid level, blood	17	15	$11.35	$4.49
86803 Hepatitis c antibody measurement	13	13	$34.00	$14.27
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$301.23	$133.18
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.17	$19.43
G0008 Administration of influenza virus vaccine	12	12	$46.83	$15.68
82746 Folic acid level	11	11	$35.27	$14.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	709	243	$134.02	$59.14
36415 Insertion of needle into vein for collection of blood sample	321	183	$8.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	141	$199.07	$87.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	289	289	$219.94	$93.79
G0444 Annual depression screening, 5 to 15 minutes	237	237	$72.00	$14.48
80053 Blood test, comprehensive group of blood chemicals	227	153	$22.00	$11.46
80061 Blood test, lipids (cholesterol and triglycerides)	170	129	$34.00	$14.51
83036 Hemoglobin A1C level	157	98	$24.00	$10.52
J1030 Injection, methylprednisolone acetate, 40 mg	118	44	$6.75	$6.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	110	89	$19.00	$8.46
84443 Blood test, thyroid stimulating hormone (TSH)	102	73	$42.00	$18.14
J0696 Injection, ceftriaxone sodium, per 250 mg	92	16	$2.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	54	$60.00	$13.35
G0008 Administration of influenza virus vaccine	60	60	$46.00	$15.42
82306 Vitamin d-3 level	55	50	$73.00	$32.23
93000 Routine ekg using at least 12 leads including interpretation and report	55	53	$39.35	$13.51
81003 Automated urinalysis test	55	38	$6.00	$2.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	54	54	$26.00	$18.65
82728 Ferritin (blood protein) level	49	34	$34.00	$14.85
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	43	38	$16.00	$7.04
82607 Cyanocobalamin (vitamin B-12) level	41	38	$37.00	$16.41
83540 Iron level	40	29	$16.00	$7.05
84466 Transferrin (iron binding protein) level	39	29	$31.00	$13.90
82043 Urine microalbumin (protein) level	32	32	$34.00	$6.29
84439 Thyroxine (thyroid chemical), free	32	20	$22.00	$9.82
82570 Creatinine level to test for kidney function or muscle injury	30	30	$13.00	$5.63
83970 Parathormone (parathyroid hormone) level	26	21	$101.00	$44.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$28.00	$16.22
80069 Kidney function blood test panel	24	18	$17.00	$9.46
G0009 Administration of pneumococcal vaccine	23	23	$46.87	$15.42
80048 Blood test, basic group of blood chemicals (calcium, total)	22	16	$17.00	$9.21
G0103 Prostate cancer screening; prostate specific antigen test (psa)	21	21	$45.00	$20.03
83735 Magnesium level	20	14	$17.00	$7.29
85018 Blood count, hemoglobin	19	14	$6.00	$2.58
85014 Red blood cell concentration measurement	19	14	$6.00	$2.58
84550 Uric acid level, blood	19	15	$12.00	$4.92
84153 Psa (prostate specific antigen) measurement, total	18	17	$45.00	$20.03
20610 Aspiration and/or injection of fluid from large joint	17	11	$160.00	$48.16
82746 Folic acid level	16	16	$36.00	$16.01
90670 Pneumococcal vaccine for injection into muscle	15	15	$251.00	$207.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$300.00	$133.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	686	233	$134.46	$57.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	139	$201.57	$85.61
36415 Insertion of needle into vein for collection of blood sample	276	155	$8.00	$2.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	259	259	$228.00	$92.73
80053 Blood test, comprehensive group of blood chemicals	226	138	$21.08	$12.73
G0444 Annual depression screening, 5 to 15 minutes	211	211	$72.00	$14.20
80061 Blood test, lipids (cholesterol and triglycerides)	164	122	$34.00	$16.20
83036 Hemoglobin A1C level	142	90	$24.00	$11.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	116	93	$19.00	$9.40
84443 Blood test, thyroid stimulating hormone (TSH)	105	81	$42.00	$20.33
J0696 Injection, ceftriaxone sodium, per 250 mg	102	20	$2.00	$0.62
J1030 Injection, methylprednisolone acetate, 40 mg	94	40	$6.45	$6.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	52	$58.18	$16.16
82306 Vitamin d-3 level	54	49	$73.00	$35.82
81003 Automated urinalysis test	48	37	$5.94	$2.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	44	39	$16.00	$7.82
82728 Ferritin (blood protein) level	41	29	$34.00	$16.49
82043 Urine microalbumin (protein) level	40	40	$34.00	$7.00
82570 Creatinine level to test for kidney function or muscle injury	38	38	$12.84	$6.26
82607 Cyanocobalamin (vitamin B-12) level	36	36	$37.00	$18.24
90756 Vaccine for influenza for injection into muscle	32	32	$37.00	$22.33
G0008 Administration of influenza virus vaccine	32	32	$48.00	$18.89
83540 Iron level	31	20	$16.00	$7.83
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$39.77	$13.09
84466 Transferrin (iron binding protein) level	27	18	$31.00	$15.44
83970 Parathormone (parathyroid hormone) level	25	17	$97.40	$49.94
84439 Thyroxine (thyroid chemical), free	24	17	$22.00	$10.91
G0009 Administration of pneumococcal vaccine	18	18	$46.67	$18.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$290.00	$132.21
84153 Psa (prostate specific antigen) measurement, total	16	14	$45.00	$22.26
80048 Blood test, basic group of blood chemicals (calcium, total)	15	14	$17.00	$10.23
85014 Red blood cell concentration measurement	14	11	$5.93	$2.87
85018 Blood count, hemoglobin	14	11	$5.93	$2.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$274.93	$116.25
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$45.00	$22.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	756	225	$130.00	$57.24
36415 Insertion of needle into vein for collection of blood sample	282	143	$7.81	$2.92
80053 Blood test, comprehensive group of blood chemicals	245	135	$18.00	$8.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$228.00	$90.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	118	$195.00	$85.27
80061 Blood test, lipids (cholesterol and triglycerides)	166	114	$33.83	$14.48
83036 Hemoglobin A1C level	150	84	$23.44	$12.98
J1030 Injection, methylprednisolone acetate, 40 mg	144	48	$4.96	$4.81
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	100	74	$18.34	$10.45
84443 Blood test, thyroid stimulating hormone (TSH)	99	71	$40.95	$22.22
J0696 Injection, ceftriaxone sodium, per 250 mg	75	16	$2.00	$0.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	46	$54.60	$19.67
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$22.98	$18.65
81003 Automated urinalysis test	65	44	$5.00	$3.02
G0008 Administration of influenza virus vaccine	63	63	$43.98	$23.26
82306 Vitamin d-3 level	55	51	$70.40	$39.80
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	49	39	$15.88	$8.55
82607 Cyanocobalamin (vitamin B-12) level	40	34	$36.70	$19.86
20610 Aspiration and/or injection of fluid from large joint	38	21	$160.00	$47.54
82728 Ferritin (blood protein) level	36	25	$32.83	$17.92
93000 Routine ekg using at least 12 leads including interpretation and report	34	31	$38.68	$13.31
82043 Urine microalbumin (protein) level	34	34	$33.56	$3.15
82570 Creatinine level to test for kidney function or muscle injury	34	34	$11.00	$6.96
G0009 Administration of pneumococcal vaccine	33	33	$43.82	$23.26
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	13	$26.21	$15.40
83540 Iron level	25	17	$15.52	$8.70
83970 Parathormone (parathyroid hormone) level	25	19	$86.00	$55.49
85652 Red blood cell sedimentation rate, to detect inflammation, automated	24	21	$8.75	$3.63
84550 Uric acid level, blood	21	17	$11.43	$4.48
84439 Thyroxine (thyroid chemical), free	19	16	$22.00	$12.12
84466 Transferrin (iron binding protein) level	19	14	$30.21	$16.90
90670 Pneumococcal vaccine for injection into muscle	18	18	$211.44	$185.01
86140 Measurement C-reactive protein for detection of infection or inflammation	17	13	$11.00	$6.96
84153 Psa (prostate specific antigen) measurement, total	15	13	$44.47	$24.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$113.29	$94.38
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$43.29	$24.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$285.83	$127.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$340.00	$135.81

Medical Specialties & State Licenses

CMS Verified: 2020-04-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN PA0842

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare Pin

P00339849 (TN)

Hospital & Practice Group Affiliations

Summit Medical Group, Pllc

1275 Dick Lonas Rd, Knoxville, TN 379091326

Summit Medical Group, Pllc

1275 Dick Lonas Rd, Knoxville, TN 379091326

Summit Medical Group, Pllc

1225 E Weisgarber Rd, Knoxville, TN 378494016

Phone: 8659383627

Summit Medical Group, Pllc

201 E Emory Rd, Powell, TN 378494016

Phone: 8659383627

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Robert Braidwood , BSPH

Pharmacist

NPI 1497973853

Dr. Ammar Razzak , MD

Internal Medicine

NPI 1992741805

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address April 23, 2020

Registered at 1275 DICK LONAS RD, KNOXVILLE, TN 379091382 (Tel: 8655844747)

✅

NPI Profile Active May 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2008

Registered at 1124 FOX MEADOWS BLVD, SUITE 2, SEVIERVILLE, TN 378626927 (Tel: 8654535530)

📍

Updated Business Mailing Address May 01, 2008

Registered at 1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 379092604 (Tel: 8655844747)

👤

Provider Name / Credentials Updated May 01, 2008

Recorded as CHARLIE ETHERTON, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2008

Physician Assistant (License #PA0842 in TN)

🟢

Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1700990025

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 17, 2006

Last Update: April 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1275 Dick Lonas Rd

Knoxville, TN 379091382

Phone: 8655844747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.