John R. Henritze, PA-C
NPI 1386609410ActiveIndividual· Physician Assistant· Bristol, TN
Physician Assistant (PA-C) with Champion Physical Therapy LLC Halls and 2 other groups, practicing in Bristol, Tennessee. 314 Medicare patients in 2024, $35,119 paid; nearly all of their 384 Part D prescriptions were generic (99%). Lists Wellmont Bristol Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1386609410 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Aug 27, 2021 |
| Certified by provider | Aug 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA0000001035 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 314 |
|---|---|
| Services billed | 1,610 across 53 procedure codes |
| Paid by Medicare | $35,119 |
Part D prescriptions in 2024
| Prescriptions (claims) | 384 · 410 30-day fills |
|---|---|
| Patients | 246 |
| Total drug cost | $4,112 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Champion Physical Therapy LLC HallsJohnson City, TN · 281 clinicians
- Watauga Orthopaedics PLCJohnson City, TN · 85 clinicians
- Dominion Health and Fitness, IncClintwood, VA · 71 clinicians
Hospital affiliation
- Wellmont Bristol Regional Medical CenterBristol, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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