Wellmont Medical Associates, Inc.
NPI 1740863968ActiveOrganization· Physiological Laboratory· Johnson City, TN
Physiological Laboratory in Johnson City, Tennessee, registered in NPPES in May 2021. The authorized official on file is Mary Lynn Krutak, Evp/Cfo. Medicare paid $18,837 for services to 237 patients in 2024.
Overview
| NPI | 1740863968 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2021 |
| Last updated in NPPES | May 21, 2021 |
| Certified by provider | May 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 237 |
|---|---|
| Services billed | 4,694 across 70 procedure codes |
| Paid by Medicare | $18,837 |