JAMES TOLLE, MD
Pulmonary Disease Physician · NASHVILLE, TN
Individual Active NPI 1831172618
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,569 | 5,113 | $445,030 | $98,254 | $77,084 |
| 2023 | 1,257 | 3,554 | $327,014 | $72,855 | $56,365 |
| 2022 | 1,083 | 2,953 | $338,239 | $87,629 | $67,833 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94010 | Test to measure expiratory airflow and volume | 1,308 | $7 | $6 |
| 94010 | Test to measure expiratory airflow and volume | 818 | $8 | $6 |
| 94729 | Test to examine how well the lungs exchange gases | 800 | $8 | $6 |
| 94729 | Test to examine how well the lungs exchange gases | 535 | $8 | $6 |
| 94726 | Test to determine lung volumes using sensors | 388 | $11 | $9 |
| 94726 | Test to determine lung volumes using sensors | 323 | $11 | $8 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 119 | $11 | $9 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 111 | $11 | $9 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 110 | $88 | $68 |
| 99291 | Critical care, first 30-74 minutes | 85 | $202 | $163 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 82 | $98 | $74 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 70 | $10 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 44905 | TN |
| Internal Medicine Physician | 207R00000X | 42163 | KY | |
| Internal Medicine Physician | 207R00000X | 219324 | MA | |
| Internal Medicine Physician | 207R00000X | 44905 | TN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 44905 | TN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 42163 | KY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 219324 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 42163 | KY | |
| Pulmonary Disease Physician | 207RP1001X | 219324 | MA |
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.