DR. RAY WALLACE METTETAL JR. M.D.
NPI 1730387036
Psychiatry & Neurology - Neurology in Johnson City, TN

Active since July 07, 2007Opted out of Medicare · through Jan 22, 2028
303 E 11TH AVE, JOHNSON CITY, TN 37601(423) 341-7538 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Ray Wallace Mettetal Jr. M.d. NPPES

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

DR. RAY WALLACE METTETAL JR. M.D. (NPI 1730387036) is an individual neurology provider in Johnson City, Tennessee, licensed in Tennessee (MD 10753) and active in the NPI registry since July 2007. He has opted out of Medicare through January 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730387036
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RAY WALLACE METTETAL JR.Credential: M.D.
Location Address303 E 11TH AVEJohnson City, TN 37601-3932
Mailing Address303 E 11th AveJohnson City, TN 37601-3932 · (423) 341-7538
Sole ProprietorYes
Enumeration DateJuly 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1730387036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TN · MD 10753
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
303 E 11TH AVE, Johnson City, TN 37601

Other Identifiers 1

Other086382VA · Bc Bs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ray Wallace Mettetal Jr. M.d. 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 January 22, 2018 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2018
Opt-Out In Effect ThroughJanuary 22, 2028Opt-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.

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 Ray Mettetal's NPI number?

The NPI number for Ray Mettetal is 1730387036. It was assigned to this individual provider in the NPPES registry on July 7, 2007.

Where is Ray Mettetal located?

Ray Mettetal practices at 303 E 11th Ave, Johnson City, TN 37601. The listed phone number is (423) 341-7538.

What is Ray Mettetal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ray Mettetal enrolled in Medicare?

No. Ray Mettetal has opted out of Medicare through January 22, 2028. 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 Ray Mettetal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.