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JOSE PINLAC VELASCO MD
NPI 1861496390
Family Medicine in Kingsport, TN

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
1000 E CENTER ST, KINGSPORT, TN 37660(423) 251-6996(423) 251-6910 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, Jan 3, 2023 (2 updates tracked since 2023).

About Jose Pinlac Velasco Md NPPES

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

JOSE PINLAC VELASCO MD (NPI 1861496390) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (26079) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861496390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSE PINLAC VELASCOCredential: MD
Location Address1000 E CENTER STKingsport, TN 37660-4973
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 921-6975 · Fax (423) 921-6920
Phone(423) 251-6996
Fax(423) 251-6910
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 13, 2005
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1861496390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 26079
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 E CENTER ST, Kingsport, TN 37660
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14307 Highway 66 SRogersville, TN 37857-3155 · Phone (423) 921-1600 · Fax (423) 921-1675
Location 2737 E Sevier AveKingsport, TN 37660-4912 · Phone (423) 246-7922 · Fax (423) 246-4248

Other Identifiers 2

Medicaid3087701TN
Other4057104Bcbst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Pinlac Velasco Md 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 ID2466514823
PECOS Enrollment IDI20081218000237
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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Velasco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health Services Consortium Of Upper East Tennessee Inc
Same address
Federally Qualified Health Center (FQHC)
1000 E CENTER ST
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 48 clinicians in this Medicare group
NPI 1255130027 (423) 251-6996

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hawkins County Memorial Hospital

Acute Care Hospitals · Rogersville, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number440032
Location851 Locust StreetRogersville, TN 37857 · Hawkins County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
5 suppliers22 claims42 services$6.40 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims68 services$2.56 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
2 suppliers11 claims11 services$17.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers24 claims24 services$5.33 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers32 claims32 services$93.03 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 4

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

RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 E CENTER ST
KINGSPORT, TN 37660
Sullivan County (423) 251-6996
MEDICATION MANAGEMENT CENTER, LLC.
Pharmacist (Pharmacotherapy)
1000 E CENTER ST, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 378-6337
DR. BILLIE J MINTON PHARM.D.
Pharmacist (Pharmacotherapy)
1000 E CENTER ST, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 378-6337
RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Pharmacy
1000 E CENTER ST
KINGSPORT, TN 37660
Sullivan County (423) 921-1621

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 Jose Velasco's NPI number?

The NPI number for Jose Velasco is 1861496390. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Jose Velasco located?

Jose Velasco practices at 1000 E Center St, Kingsport, TN 37660. The listed phone number is (423) 251-6996.

What is Jose Velasco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Velasco enrolled in Medicare?

Yes. Jose Velasco 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.

Which organization bills Medicare for Jose Velasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Velasco reassigns Medicare benefits to Rural Health Services Consortium Of Upper East Tennessee Inc (Kingsport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Velasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Velasco accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Jose Velasco 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 Jose Velasco affiliated with any hospitals?

According to CMS data, Jose Velasco is affiliated with Wellmont Holston Valley Medical Center and Hawkins County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jose Velasco was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.