KELLY G MCQUEEN DO
NPI 1306807979
Family Medicine in Kingsport, TN

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
2204 PAVILION DR, SUITE 310, KINGSPORT, TN 37660(423) 224-3900(423) 224-3901 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2021, Feb 27, 2017 (2 updates tracked since 2017).

About Kelly G Mcqueen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY G MCQUEEN DO (NPI 1306807979) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (1209) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1306807979
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY G MCQUEENCredential: DO
Location Address2204 PAVILION DR, SUITE 310Kingsport, TN 37660-4657
Mailing Address276 Fieldstone DrJonesville, VA 24263-1215 · (423) 224-3900 · Fax (423) 224-3901
Fax(423) 224-3901
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
NPI 1306807979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 1209 Licensed in VA · 0102203973
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2204 PAVILION DR, Kingsport, TN 37660

Other Names 1

Former Name (1)Kelly Gray Do

Other Identifiers 3

Medicaid1306807979VA
Medicaid1509015TN
OtherP00878625TN · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly G Mcqueen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345256871
PECOS Enrollment IDI20060221000712
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
330 services129 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
116 services24 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
84 services24 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
74 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
36 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2204 PAVILION DR, SUITE 105
KINGSPORT, TN 37660
Nurse Practitioner
2204 PAVILION DR, SUITE 108
KINGSPORT, TN 37660
Nurse Practitioner
2204 PAVILION DR, SUITE 108
KINGSPORT, TN 37660
Pediatrics
2204 PAVILION DR, SUITE 210
KINGSPORT, TN 37660
Internal Medicine
2204 PAVILION DR, SUITE 310
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
2204 PAVILION DR, SUITE 105
KINGSPORT, TN 37660
Internal Medicine
2204 PAVILION DR, 200
KINGSPORT, TN 37660
Pharmacist
2204 PAVILION DR, SUITE 105
KINGSPORT, TN 37660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mcqueen's NPI number?

The NPI number for Kelly Mcqueen is 1306807979. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Kelly Gray Do.

Where is Kelly Mcqueen located?

Kelly Mcqueen practices at 2204 Pavilion Dr Suite 310, Kingsport, TN 37660. The listed phone number is (423) 224-3900.

What is Kelly Mcqueen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Mcqueen enrolled in Medicare?

Yes. Kelly Mcqueen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Mcqueen accept?

Health plans from BlueCross BlueShield of Tennessee list Kelly Mcqueen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Mcqueen affiliated with any hospitals?

According to CMS data, Kelly Mcqueen is affiliated with Wellmont Holston Valley Medical Center, Johnson City Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mcqueen was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.