Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell David Koesters, PA

Individual provider Surgical Physician Assistant · NPI 1871161323

Russell David Koesters, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2021, 5 years ago. Practices with Watauga Orthopaedics PLC, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2410 Susannah St
Johnson City, TN 37601-1748
Phone: (423) 282-9011
Fax: (423) 282-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 340 Steeles Rd, Bristol, TN 37620-9532 — (423) 722-0284
  • 875 Larry Neil Way, Kingsport, TN 37660-6368 — (423) 282-9011

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4616 (TN)

Record details

NPI number1871161323
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Watauga Orthopaedics Plc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients301
Services billed 1,435 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Wellmont Bristol Regional Medical Center Hospital · Bristol, TN
  • Wellmont Holston Valley Medical Center Hospital · Kingsport, TN

Colleagues at Watauga Orthopaedics PLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 82 clinicians in the practice; 12 are shown here.

Other providers in Johnson City