JAMES ABERNATHY, MD
Family Medicine Physician · MORRISTOWN, TN
Individual Active NPI 1427146539
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 241 | 393 | $234,971 | $52,286 | $41,510 |
| 2023 | 210 | 621 | $241,456 | $63,140 | $50,472 |
| 2022 | 54 | 163 | $62,708 | $16,200 | $13,437 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 188 | $160 | $127 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 71 | $72 | $57 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | $108 | $84 |
| 99291 | Critical care, first 30-74 minutes | 31 | $196 | $156 |
| 99239 | Hospital discharge day management, more than 30 minutes | 22 | $104 | $80 |
| 99292 | Critical care, each additional 30 minutes | 12 | $98 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 61322 | TN |
| Medical Physician Assistant | 363AM0700X | PA0000001445 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.