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DR. JAMES ROBERT BIGGERS JR. D.O.
NPI 1003886672
Emergency Medicine in Waynesboro, TN

Active since January 25, 2006PECOS Enrolled
91.22/100
CMS Quality Rating
522 LUNA RD, WAYNESBORO, TN 38485(423) 802-3727(866) 300-8210 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Feb 19, 2021 (2 updates tracked since 2021).

About Dr. James Robert Biggers Jr. D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES ROBERT BIGGERS JR. D.O. (NPI 1003886672) is an individual emergency medicine provider in Waynesboro, Tennessee, licensed in Tennessee (838) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hardin Medical Center, and maintains a secondary practice location in Clifton.

NPPES Registry Identity

NPI1003886672
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES ROBERT BIGGERS JR.Credential: D.O.
Location Address522 LUNA RDWaynesboro, TN 38485-3938
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(423) 802-3727
Fax(866) 300-8210
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1989
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1003886672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TN · 838✔ Licensed in GA · 34541
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
522 LUNA RD, Waynesboro, TN 38485
Open in Google Maps ↗

Secondary Practice Location 1

Location 12342 Billy Nance BlvdClifton, TN 38425 · Phone (931) 977-3198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Robert Biggers Jr. D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214914191
PECOS Enrollment IDI20050728001229
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show James Biggers reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southland Tn Emergency Medical Services LLC
6.8 mi
Emergency Medicine
103 JV MANGUBAT DR
Waynesboro, TN 38485
  • Reassigned Medicare billing, Tennessee enrollment
  • 20 clinicians in this Medicare group
NPI 1518773712 (229) 236-0831
Hardin Emergency Group LLC
32 mi
Emergency Medicine
2006 WAYNE RD
Savannah, TN 38372
  • Reassigned Medicare billing, Tennessee enrollment
  • 37 clinicians in this Medicare group
NPI 1972850477 (800) 893-9698
Emergency Coverage, LLC
258 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
South Central Physicians PLLC
816 mi
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1427611854 (888) 264-0330
Concord Medical Group PLLC
816 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Tennessee enrollment
  • 116 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
374 services318 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
250 services214 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
202 services181 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 services108 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hardin Medical Center

Acute Care Hospitals · Savannah, TN
OwnershipGovernment - Local
CMS Certification Number440109
Location935 Wayne RoadSavannah, TN 38372 · Hardin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38485 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.7
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Biggers's NPI number?

The NPI number for James Biggers is 1003886672. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is James Biggers located?

James Biggers practices at 522 Luna Rd, Waynesboro, TN 38485. The listed phone number is (423) 802-3727.

What is James Biggers's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Biggers enrolled in Medicare?

Yes. James Biggers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Biggers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Biggers reassigns Medicare benefits to 5 organizations: Southland Tn Emergency Medical Services LLC (Waynesboro, TN), Hardin Emergency Group LLC (Savannah, TN), Emergency Coverage, LLC (Newport, TN), South Central Physicians PLLC (Lubbock, TX) and Concord Medical Group PLLC (Lubbock, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Biggers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Biggers accept?

Health plans from Oscar Health and Oscar Insurance Company list James Biggers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Biggers affiliated with any hospitals?

According to CMS data, James Biggers is affiliated with Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for James Biggers was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.