npidexNPI registry + Medicare data

LAURENCE JAMES, M.D.

Internal Medicine Physician · SWEETWATER, TN

Individual Active NPI 1932587342

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245672,206$396,887$182,329$138,292
20235131,725$275,676$132,942$101,357
20225391,928$270,535$149,258$109,852

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more654$90$64
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes355$72$57
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only292$7$5
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more151$61$43
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes117$109$87
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes89$159$123
99291Critical care, first 30-74 minutes81$195$156
99238Hospital discharge day management, 30 minutes or less55$74$59
99239Hospital discharge day management, more than 30 minutes53$105$84
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit51$119$119
99496Transitional care management services for problem of high complexity44$175$137
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow40$96$74

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Internal Medicine Physician207R00000X✓MD58685TN
Student in an Organized Health Care Education/Training Program390200000X——

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

Other Internal Medicine Physician providers in Tennessee

See all Internal Medicine Physician providers in Tennessee →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.