Charlie Etherton, PAC
NPI 1700990025ActiveIndividual· Physician Assistant· Sevierville, TN
Physician Assistant (PAC) with Summit Medical Group, PLLC and 1 other group, practicing in Sevierville, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $1,063,796 for 8,164 claims, against $103,164 paid for services in 2024. Lilly USA, LLC was the largest of 2 companies reporting payments in 2025, $38.20 in all, mostly food and beverage. Lists Leconte Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1700990025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Aug 17, 2006 |
| Last updated in NPPES | Apr 23, 2020 |
| Certified by provider | Apr 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA0842 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 268 |
|---|---|
| Services billed | 5,717 across 92 procedure codes |
| Paid by Medicare | $103,164 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,164 · 18,353 30-day fills |
|---|---|
| Patients | 472 |
| Total drug cost | $1,063,796 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Summit Medical Group, PLLCKnoxville, TN · 652 clinicians
- Champion Physical Therapy LLC HallsJohnson City, TN · 281 clinicians
Hospital affiliations
- Leconte Medical CenterSevierville, TN
- University Health System, IncKnoxville, TN
Other facilities
- Amedisys Home Health CareHome health agency · Knoxville, TN
- University of Tn Medical Center Home Care ServicesHome health agency · Knoxville, TN
Industry payments (Open Payments)
- 2025$38.20 · 2 payments from 2 companies
- 2024$254.33 · 13 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $19.59 | 1 |
| Otsuka America Pharmaceutical, Inc. | $18.61 | 1 |
What the 2025 payments were for
- Food and Beverage$38.20 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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