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GREGG H.D. KESTERSON MD
NPI 1376585919
Internal Medicine - Addiction Medicine in Johnson City, TN

Active since June 11, 2006Opted out of Medicare · through Oct 1, 2027
105 BROYLES DR, SUITE B, JOHNSON CITY, TN 37601(423) 722-4000(423) 722-4004 Get Directions Write a Review

NPPES record last updated: November 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2016, Sep 30, 2015 (2 updates tracked since 2015).

About Gregg H.d. Kesterson Md NPPES

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

GREGG H.D. KESTERSON MD (NPI 1376585919) is an individual addiction medicine provider in Johnson City, Tennessee, licensed in Tennessee (17126) and active in the NPI registry since June 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376585919
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameGREGG H.D. KESTERSONCredential: MD
Location Address105 BROYLES DR, SUITE BJohnson City, TN 37601-2542
Mailing Address7731 Cherokee Springs WayKnoxville, TN 37919-9030 · (865) 470-2468
Phone(423) 722-4000
Fax(423) 722-4004
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateNovember 19, 20162 updates tracked since enumeration
✔ NPI 1376585919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in TN · 17126
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 17126 (TN)
105 BROYLES DR, Johnson City, TN 37601
Open in Google Maps ↗

Other Identifiers 3

Medicaid3019399TN
Medicare UPINA98311
Other110098564TN · Rr Medicare Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gregg H.d. Kesterson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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

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

PRINCETON DRUG
Pharmacy
105 BROYLES DR
JOHNSON CITY, TN 37601
Washington County (423) 282-1178

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 Gregg Kesterson's NPI number?

The NPI number for Gregg Kesterson is 1376585919. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Gregg Kesterson located?

Gregg Kesterson practices at 105 Broyles Dr Suite B, Johnson City, TN 37601. The listed phone number is (423) 722-4000.

What is Gregg Kesterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Gregg Kesterson enrolled in Medicare?

No. Gregg Kesterson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gregg Kesterson was last updated on November 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.