MR. AARON DEWAYNE PETREY (PA-C) – Medical Physician Assistant, NPI 1710525944
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. AARON DEWAYNE PETREY (PA-C)
131 Hospital Ln
Jellico, TN 377624404
Phone: (423) 784-7269
Fax: (423) 784-3708
Type: Location
PO BOX 247
JELLICO, TN 377620247
Phone: (423) 784-0269
Fax: (423) 784-3708
Type: Mailing
475 N HIGHWAY 25 W STE 100
WILLIAMSBURG, KY 407691576
Phone: (606) 549-2930
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,103.
Total Amount is formed as General ($1,103) + Research ($0) + Ownership ($0) = $1,103.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($177).
Total Amount
$1,103
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $177 |
| AstraZeneca Pharmaceuticals LP | $164 |
| Bayer Healthcare Pharmaceuticals Inc. | $122 |
| Vanda Pharmaceuticals Inc. | $90 |
| Novo Nordisk Inc | $80 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200318001224 | I | Physician Assistant | KY | TBD |
| I20200629003401 | I | Physician Assistant | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | TN | |
| - | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Physician Assistant | TN | |
| Nurse Practitioner | KY |
Reviews
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