CHARLIE ETHERTON PAC
NPI 1700990025
Physician Assistant in Sevierville, TN

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
1124 FOX MEADOWS BLVD, SUITE 2, SEVIERVILLE, TN 37862(865) 453-5530(865) 453-2671 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlie Etherton Pac NPPES

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

CHARLIE ETHERTON PAC (NPI 1700990025) is an individual physician assistant in Sevierville, Tennessee, licensed in Tennessee (PA0842) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1700990025
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLIE ETHERTONCredential: PAC
Location Address1124 FOX MEADOWS BLVD, SUITE 2Sevierville, TN 37862-6927
Mailing Address1275 Dick Lonas RdKnoxville, TN 37909-1382 · (865) 584-4747
Fax(865) 453-2671
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 17, 2006
Last NPPES UpdateApril 23, 2020
NPPES CertifiedApril 23, 2020
NPI 1700990025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · PA0842
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.
1124 FOX MEADOWS BLVD, Sevierville, TN 37862

Other Identifiers 1

OtherP00339849TN · Rr Medicare Pin

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

Charlie Etherton Pac 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 ID2466475272
PECOS Enrollment IDI20060106000881
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 36

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
460 services215 patients
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.
353 services153 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
323 services167 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
260 services125 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
257 services158 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.
256 services128 patients

Hospital Affiliations CMS Care Compare 2

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37862 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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers22 claims90 services$6.43 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers11 claims660 services$5.39 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
2 suppliers11 claims110 services$2.17 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$4.50 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers11 claims264 services$3.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers45 claims45 services$19.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1124 FOX MEADOWS BLVD, STE 3
SEVIERVILLE, TN 37862
Surgery
1124 FOX MEADOWS BLVD, SUITE 1
SEVIERVILLE, TN 37862
Nurse Practitioner (Family)
1124 FOX MEADOWS BLVD, SUITE 3
SEVIERVILLE, TN 37862
Internal Medicine
1124 FOX MEADOWS BLVD, SUITE 3
SEVIERVILLE, TN 37862
Internal Medicine
1124 FOX MEADOWS BLVD, SUITE 2
SEVIERVILLE, TN 37862
Internal Medicine
1124 FOX MEADOWS BLVD, STE 2
SEVIERVILLE, TN 37862

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 Charlie Etherton's NPI number?

The NPI number for Charlie Etherton is 1700990025. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Charlie Etherton located?

Charlie Etherton practices at 1124 Fox Meadows Blvd Suite 2, Sevierville, TN 37862. The listed phone number is (865) 453-5530.

What is Charlie Etherton's specialty?

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

Is Charlie Etherton enrolled in Medicare?

Yes. Charlie Etherton 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 Charlie Etherton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Charlie Etherton 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 Charlie Etherton affiliated with any hospitals?

According to CMS data, Charlie Etherton is affiliated with University Health System, Inc and Leconte Medical Center.

When was this NPI record last updated?

The NPPES record for Charlie Etherton was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.