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DEREK CHARLES RHOTON P.A.-C
NPI 1649502048
Physician Assistant in Elizabethton, TN

Active since February 10, 2010PECOS EnrolledAccepts Medicare Assignment
88.95/100
CMS Quality Rating
314 ROGOSIN DR, ELIZABETHTON, TN 37643(423) 518-1670(833) 974-4494 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 17, 2024, Mar 24, 2017 (3 updates tracked since 2017).

About Derek Charles Rhoton P.a.-c NPPES

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

DEREK CHARLES RHOTON P.A.-C (NPI 1649502048) is an individual physician assistant in Elizabethton, Tennessee and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1649502048
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK CHARLES RHOTONCredential: P.A.-C
Location Address314 ROGOSIN DRElizabethton, TN 37643-2904
Mailing Address314 Rogosin DrElizabethton, TN 37643-2904 · (423) 518-1670 · Fax (833) 974-4494
Phone(423) 518-1670
Fax(833) 974-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 10, 2010
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1649502048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1815 (TN)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1815 (TN)
314 ROGOSIN DR, Elizabethton, TN 37643
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Secondary Practice Location 1

Location 13 Professional Park Dr Ste 21Johnson City, TN 37604-6529 · Phone (423) 434-6300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Derek Charles Rhoton P.a.-c 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 ID6305975665
PECOS Enrollment IDI20100525000286
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 5

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
57 services24 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
25 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
19 services15 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37643 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.22
Promoting Interoperability92
Improvement Activities40
Cost86.62

Other Providers at the Same Location NPPES 7

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

DR. DONALD FREDERICK THOMPSON M.D.
Family Medicine
314 ROGOSIN DR
ELIZABETHTON, TN 37643
Carter County (423) 433-6630
NORTHEAST TENNESSEE MEDICAL ASSOCIATES PLC
Family Medicine
314 ROGOSIN DR
ELIZABETHTON, TN 37643
Carter County (423) 542-5505
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Clinic/Center (Urgent Care)
314 ROGOSIN DR
ELIZABETHTON, TN 37643
Carter County (423) 854-2892
TAMMY M WILHOIT NP
Nurse Practitioner (Family)
314 ROGOSIN DR
ELIZABETHTON, TN 37643
Carter County (423) 433-6630
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
314 ROGOSIN DR, SUITE B
ELIZABETHTON, TN 37643
Carter County (423) 547-2761
CAMPBELL CLINIC, PC
Durable Medical Equipment & Medical Supplies
314 ROGOSIN DR
ELIZABETHTON, TN 37643
Carter County (423) 518-1670
HEATHER DEANNE GREENE FNP
Nurse Practitioner
314 ROGOSIN DR
ELIZABETHTON, TN 37643
Carter County (423) 433-6630

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 Derek Rhoton's NPI number?

The NPI number for Derek Rhoton is 1649502048. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Derek Rhoton located?

Derek Rhoton practices at 314 Rogosin Dr, Elizabethton, TN 37643. The listed phone number is (423) 518-1670.

What is Derek Rhoton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derek Rhoton enrolled in Medicare?

Yes. Derek Rhoton 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 Derek Rhoton accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Derek Rhoton 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 Derek Rhoton affiliated with any hospitals?

According to CMS data, Derek Rhoton is affiliated with Sycamore Shoals Hospital.

When was this NPI record last updated?

The NPPES record for Derek Rhoton was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.