Doctor profile · Federal record

Dr. RUSSELL WALTERS, PA-C

Physician Assistant · Physician Assistant · JEFFERSON CITY, TN

  • NPI 1952724403
  • 12 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
110 HOSPITAL DR
JEFFERSON CITY, TN 377605281
(865) 471-2300
fax (865) 471-2463
Mailing address
1431 CENTERPOINT BLVD, SUITE 100
KNOXVILLE, TN 379321984

Credentials & registration

NPPES · NUCC
NPI registered
February 2014 — 12 yrs on file
Profile last updated
November 1, 2021
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Tennessee #2489

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1952724403. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
138
Distinct HCPCS
4
Medicare allowed
$12,271
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 58 57 $94
99285 Emergency department visit with high level of medical decision making 45 44 $132
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 21 21 $6
99283 Emergency department visit with low level of medical decision making 14 14 $55

In context: peer comparison

Among 3 peers in this city , average services per provider: 58. This provider delivers 2.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
33
Patients
33
Total drug cost
$121
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 20 20 $68
Cephalexin Generic 13 13 $54