Doctor profile · Federal record
Dr. Keith Micetich, MD
Specialist · Jackson, TN
- NPI 1427026137
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
72 Physicians Dr
Jackson, TN 383052070
(731) 668-4455
fax (731) 668-9007
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- November 2, 2011
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- Tennessee #26274
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1427026137. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
239
Distinct HCPCS
6
Medicare allowed
$19,160
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 76 | 57 | $116 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 59 | 34 | $82 | |
77067 |
Screening mammography | 41 | 41 | $82 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 34 | 34 | $35 | |
Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 18 | 18 | $39 | |
77063 |
Screening 3d breast mammography | 11 | 11 | $21 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 2,240. This provider delivers 0.1× the peer median.Open Payments
Industry payments received
All-time total
$28
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 1 | $28.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
86
Patients
13
Total drug cost
$8,906
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol (Twice Weekly) (Estradiol) | Brand | 30 | 0 | $2,417 |
| Estradiol | Generic | 26 | 13 | $2,247 |
| Estradiol (Once Weekly) (Estradiol) | Brand | 15 | 0 | $1,441 |
| Tolterodine Tartrate Er (Tolterodine Tartrate) | Brand | 15 | 0 | $2,800 |
Frequently asked questions
What is Dr. Keith Micetich's medical specialty?
Dr. Keith Micetich practices Specialist in Jackson, TN.
Where does Dr. Keith Micetich practice?
Dr. Keith Micetich practices at 72 Physicians Dr, Jackson, TN 383052070. Office phone: 7316684455.
What is Dr. Keith Micetich's NPI?
Dr. Keith Micetich's National Provider Identifier (NPI) is 1427026137, issued by NPPES.
What procedures does Dr. Keith Micetich commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Screening mammography (HCPCS 77067). Source: CMS Medicare Physician & Other Practitioners file.