Kelly J. Cassedy, M.D.
NPI 1639170178ActiveIndividual· Radiology, Diagnostic Radiology· Kingsport, TN
Radiology, Diagnostic Radiology (M.D.) in Kingsport, Tennessee, trained at University of Cincinnati College of Medicine (class of 1987). Medicare paid $136,175 for services to 2,779 patients in 2024.
Overview
| NPI | 1639170178 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 23468 | 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 - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,779 |
|---|---|
| Services billed | 3,746 across 111 procedure codes |
| Paid by Medicare | $136,175 |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Blue Ridge Radiology PCBristol, TN · 76 clinicians
Hospital affiliations
- Greeneville Community HospitalGreeneville, TN
- Johnson City Medical CenterJohnson City, TN
- Johnston Memorial HospitalAbingdon, VA
- Wellmont Bristol Regional Medical CenterBristol, TN
- Wellmont Holston Valley Medical CenterKingsport, 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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