DR. SAMANTHA A KETRON MD
NPI 1578959920
Pediatrics in Kingsport, TN

Active since April 13, 2015PECOS Enrolled
444 CLINCHFIELD ST STE 2900, KINGSPORT, TN 37660(423) 530-7970(423) 232-8581 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2026, Feb 19, 2025, Mar 29, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Samantha A Ketron Md NPPES

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

DR. SAMANTHA A KETRON MD (NPI 1578959920) is an individual pediatrics provider in Kingsport, Tennessee, licensed in Tennessee (55958) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578959920
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMANTHA A KETRONCredential: MD
Location Address444 CLINCHFIELD ST STE 2900Kingsport, TN 37660-3828
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 530-7970 · Fax (423) 232-8581
Fax(423) 232-8581
Sole ProprietorNo
Enumeration DateApril 13, 2015
Last NPPES UpdateApril 30, 20266 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1578959920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · 55958
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
444 CLINCHFIELD ST STE 2900, Kingsport, TN 37660

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 (PECOS)

Dr. Samantha A Ketron Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 6

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

Pediatrics
444 CLINCHFIELD ST STE 2900
KINGSPORT, TN 37660
Nurse Practitioner (Family)
444 CLINCHFIELD ST STE 2900
KINGSPORT, TN 37660
Surgery
444 CLINCHFIELD ST STE 2900
KINGSPORT, TN 37660
Pediatrics
444 CLINCHFIELD ST STE 2900
KINGSPORT, TN 37660
Family Medicine
444 CLINCHFIELD ST STE 2900
KINGSPORT, TN 37660
Nurse Practitioner (Family)
444 CLINCHFIELD ST STE 2900
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 Samantha Ketron's NPI number?

The NPI number for Samantha Ketron is 1578959920. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Samantha Ketron located?

Samantha Ketron practices at 444 Clinchfield St Ste 2900, Kingsport, TN 37660. The listed phone number is (423) 530-7970.

What is Samantha Ketron's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Ketron enrolled in Medicare?

Yes. Samantha Ketron is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Ketron accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Samantha Ketron 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.

When was this NPI record last updated?

The NPPES record for Samantha Ketron was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.