Doctor profile · Federal record

Dr. SHELLY KETRON, PA-C

Physician Assistant · Physician Assistant · KINGSPORT, TN

  • NPI 1477899441
  • 14 yrs on file
  • Licensed in 2 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 4 locations .

NPPES Updated May 11, 2026
Primary practice
2050 MEADOWVIEW PKWY
KINGSPORT, TN 376607475
(423) 230-5000
fax (423) 390-6852
Additional location
2428 Knob Creek Rd Ste 201
Johnson City, TN 376042396
(423) 282-5054
Additional location
378 Marketplace Blvd Ste 5
Johnson City, TN 376042361
(423) 282-0751
Show 1 more location
Additional location
400 N State Of Franklin Rd
Johnson City, TN 376046035
(423) 431-6111
Mailing address
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192

Credentials & registration

NPPES · NUCC
NPI registered
December 2012 — 14 yrs on file
Profile last updated
February 1, 2024
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Tennessee #2998 · North Carolina #0010-03974

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1477899441. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
448
Distinct HCPCS
1
Medicare allowed
$31,631
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 448 343 $71

In context: peer comparison

Among 17 peers in this city , average services per provider: 121. This provider delivers 3.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$145
Transactions
7
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
REVANCE THERAPEUTICS, INC. 3 $56.79
CVRx, Inc. 1 $30.53
Boston Scientific Corporation 2 $30.31
Reflow Medical Inc 1 $27.12

By nature of payment

Food and Beverage
$145

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
640
Patients
183
Total drug cost
$93,976
Drug Type Claims Patients Total cost
Clopidogrel (Clopidogrel Bisulfate) Brand 339 101 $5,569
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 62 44 $422
Eliquis (Apixaban) Brand 56 11 $46,131
Cilostazol Generic 46 0 $1,567
Xarelto (Rivaroxaban) Brand 44 0 $28,588
Brilinta (Ticagrelor) Brand 22 0 $9,958
Pentoxifylline Generic 18 0 $1,371
Cephalexin Generic 16 16 $91
Rosuvastatin Calcium Generic 14 0 $131
Prednisone Generic 12 11 $14