PAUL L JETT (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1780634469

PAUL L JETT (MD) is a healthcare provider. based in Kingsport, Tennessee. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 0101272721 (VA). The NPI Number for PAUL L JETT (MD) is 1780634469

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
PAUL L JETT (MD)
NPI
1780634469
Phone
(423) 392-4908
Address
6 SHERIDAN SQ STE 100
Enumeration Date
11 May 2006
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
4232727261
Graduation Year
2001 (25 years ago)
PAC ID
7315976032
Group Practice PAC ID
8123291739
Professional Enrollment ID
I20050811000945
Address ID
TN378572452RO401XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

206 PHYSICAL MEDICINE AND REHABILITATION in TN

Provider Addresses for PAUL L JETT (MD)

  • 6 SHERIDAN SQ STE 100

    KINGSPORT, TN 376607390

    Phone: (423) 392-4908

    Fax: (423) 392-4910

    Type: Mailing

  • 2205 PAVILION DR STE 201

    KINGSPORT, TN 376604614

    Phone: (423) 392-6000

    Type: Location

  • 2204 Pavilion Dr Ste 110

    Kingsport, TN 376604651

    Phone: (423) 979-6014

    Type: Location

  • 671 Highway 58 E

    Norton, VA 242733007

    Phone: (276) 679-5874

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $932.

Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($144).

Total Amount

$932

General + Research + Ownership

Payments

35

Total payment records

General Amount

$932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050811000945IPhysical Medicine And RehabilitationTNTBD
I20210805000487IPhysical Medicine And RehabilitationVATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95886Needle measurement of electrical activity in arm or leg muscles, complete study13079$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level9050$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level9050$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance8163$0
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint7248$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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Provider's Procedures

PAUL L JETT (MD) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOTN20610Aspiration and/or injection of large joint or joint capsule5543
PHYSICAL MEDICINE AND REHABILITATIOTN62311Injections of substances into lower or sacral spine7562
PHYSICAL MEDICINE AND REHABILITATIOTN64493Injections of lower or sacral spine facet joint using imaging guidance8761

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123291739View full group profile
NameSpecialtyState
-TN
-TN
General SurgeryMD
Pulmonary Disease, Internal MedicineTN
G A S T R O E N T E R O L O G YTN
N E U R O S U R G E R YIL
Nurse PractitionerTN
-TN
Physician AssistantKY
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for PAUL L JETT (MD)?
PAUL L JETT (MD) — NPI 1780634469 — is the standard way to identify this listing.
Can I rely on PAUL L JETT (MD) being an active provider?
As of the registry snapshot, PAUL L JETT (MD) is marked active.
What healthcare role does PAUL L JETT (MD) hold?
Scheduling teams often label PAUL L JETT (MD) under Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PAUL L JETT (MD)?
PAUL L JETT (MD)'s geographic hint is Kingsport, Tennessee in our summary view.
Why does PAUL L JETT (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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