MS. CARALINE BERLYNN MCDOWELL PA-C
NPI 1861099491
Physician Assistant in Hendersonville, TN

Active since October 06, 2020PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
1047 GLENBROOK WAY, HENDERSONVILLE, TN 37075(615) 553-5000 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, May 13, 2023, Sep 28, 2021 and 3 more (6 updates tracked since 2020).

About Ms. Caraline Berlynn Mcdowell Pa-c NPPES

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

MS. CARALINE BERLYNN MCDOWELL PA-C (NPI 1861099491) is an individual physician assistant in Hendersonville, Tennessee, licensed in Tennessee (4348) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861099491
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CARALINE BERLYNN MCDOWELLCredential: PA-C
Location Address1047 GLENBROOK WAYHendersonville, TN 37075-1306
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2020
Last NPPES UpdateDecember 1, 20256 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1861099491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 4348
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 · SurgicalTaxonomy 363AS0400X · License 4348 (TN)
1047 GLENBROOK WAY, Hendersonville, TN 37075

Secondary Practice Locations 2

Location 14998 Crossings CirMount Juliet, TN 37122-2978 · Phone (615) 553-5000
Location 2430 W Ravine RdKingsport, TN 37660-3868 · Phone (423) 245-3161

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

Ms. Caraline Berlynn Mcdowell Pa-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 ID2466850615
PECOS Enrollment IDI20211001002579
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

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.

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.
23 services13 patients

Hospital Affiliations CMS Care Compare

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37075 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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Family Medicine
1047 GLENBROOK WAY, SUITE 120
HENDERSONVILLE, TN 37075
Family Medicine
1047 GLENBROOK WAY, SUITE 120
HENDERSONVILLE, TN 37075

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 Caraline Mcdowell's NPI number?

The NPI number for Caraline Mcdowell is 1861099491. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Caraline Mcdowell located?

Caraline Mcdowell practices at 1047 Glenbrook Way, Hendersonville, TN 37075. The listed phone number is (615) 553-5000.

What is Caraline Mcdowell's specialty?

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

Is Caraline Mcdowell enrolled in Medicare?

Yes. Caraline Mcdowell 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 Caraline Mcdowell 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 4 other insurers list Caraline Mcdowell 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 Caraline Mcdowell affiliated with any hospitals?

According to CMS data, Caraline Mcdowell is affiliated with Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Caraline Mcdowell was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.