KEVIN MCCOY JAMES M.D.
NPI 1013176023
Internal Medicine - Geriatric Medicine in Maryville, TN

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
252 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804(865) 980-5200(865) 980-5201 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2020, May 12, 2017 (2 updates tracked since 2017).

About Kevin Mccoy James M.d. NPPES

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

KEVIN MCCOY JAMES M.D. (NPI 1013176023) is an individual geriatric medicine provider in Maryville, Tennessee, licensed in Tennessee (239570) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1013176023
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameKEVIN MCCOY JAMESCredential: M.D.
Location Address252 CHEROKEE PROFESSIONAL PARKMaryville, TN 37804-5153
Mailing Address252 Cherokee Professional ParkMaryville, TN 37804-5153 · (865) 980-5200 · Fax (865) 980-5201
Fax(865) 980-5201
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2007
Enumeration DateJune 4, 2008
Last NPPES UpdateJuly 17, 20202 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
NPI 1013176023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in TN · 239570
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

252 CHEROKEE PROFESSIONAL PARK, Maryville, TN 37804

Secondary Practice Location 1

Location 1907 E LaMar Alexander PkwyMaryville, TN 37804-5015 · Phone (865) 980-4897 · Fax (865) 977-4796

Other Identifiers 1

Medicaid1529413TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Mccoy James M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537283676
PECOS Enrollment IDI20120815000653
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.

Areas of Expertise CMS Part B claims 15

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
576 services276 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
490 services232 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
241 services173 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
139 services109 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
136 services128 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
135 services96 patients

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$46.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$16.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers28 claims28 services$75.98 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$19.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$202.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804
Family Medicine
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804
Nurse Practitioner (Gerontology)
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804
Nurse Practitioner
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804
Nurse Practitioner (Family)
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804
Nurse Practitioner (Family)
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804
Nurse Practitioner
252 CHEROKEE PROFESSIONAL PARK
MARYVILLE, TN 37804

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 Kevin James's NPI number?

The NPI number for Kevin James is 1013176023. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Kevin James located?

Kevin James practices at 252 Cherokee Professional Park, Maryville, TN 37804. The listed phone number is (865) 980-5200.

What is Kevin James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Kevin James enrolled in Medicare?

Yes. Kevin James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin James accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kevin James 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 Kevin James affiliated with any hospitals?

According to CMS data, Kevin James is affiliated with Blount Memorial Hospital and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin James was last updated on July 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.