DR. JAMES MICHAEL SIZEMORE JR. MD
NPI 1124021340
Internal Medicine - Infectious Disease in Chattanooga, TN

Q: What is James Sizemore's NPI number?

The NPI number for James Sizemore is 1124021340. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is James Sizemore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for James Sizemore was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

1000 EAST THIRD STREET, SUITE 302, CHATTANOOGA, TN 37403(423) 664-5165(423) 664-5164 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. James Michael Sizemore Jr. Md NPPES

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

DR. JAMES MICHAEL SIZEMORE JR. MD (NPI 1124021340) is an individual infectious disease provider in Chattanooga, Tennessee, licensed in Tennessee (040177) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1998).

NPPES Registry Identity

NPI1124021340

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. JAMES MICHAEL SIZEMORE JR.Credential: MD

Location Address1000 EAST THIRD STREET, SUITE 302Chattanooga, TN 37403-4115

Mailing Address1000 East Third Street, Suite 302Chattanooga, TN 37403-4115 · (423) 664-5165 · Fax (423) 664-5164

Phone(423) 664-5165

Fax(423) 664-5164

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1998

Enumeration DateMay 23, 2005

Last NPPES UpdateDecember 30, 2013

✔ NPI 1124021340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in TN · 040177✔ Licensed in GA · 060877

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1000 EAST THIRD STREET, Chattanooga, TN 37403

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Other Identifiers 13

Other4111600TN · Blue Cross

Other100049672TN · Php

Other1891884292Group N P I

Other0007197040TN · Aetna

Other0480277TN · Cigna

Other2181280TN · First Health

Medicare ID-Type Unspecified3712427TN · Group Medicare

Medicaid5902601NC

Medicare UPINI00695

Medicare ID-Type Unspecified3333248TN

Medicaid1738158LA

Medicaid3333248TN

Medicaid150360938AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. James Michael Sizemore Jr. Md 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 ID6800888306

PECOS Enrollment IDI20050929000913

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 2

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.

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.

481 services125 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.

90 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%51 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. ADAM JAMES SOUFLERIS MD

Internal Medicine (Infectious Disease)

1000 EAST THIRD STREET, SUITE 302
CHATTANOOGA, TN 37403

Hamilton County (423) 664-5165

CHATTANOOGA CARES, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

1000 EAST THIRD STREET, SUITE 300
CHATTANOOGA, TN 37403

Hamilton County (423) 648-9939

DR. STEPHEN SMITH HAWKINS MD

Internal Medicine (Infectious Disease)

1000 EAST THIRD STREET, SUITE 302
CHATTANOOGA, TN 37403

Hamilton County (423) 664-5165

ID GROUP, PLLC

Specialist

1000 EAST THIRD STREET, SUITE 302
CHATTANOOGA, TN 37403

Hamilton County (423) 664-5165

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 Sizemore's NPI number?

The NPI number for James Sizemore is 1124021340. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is James Sizemore located?

James Sizemore practices at 1000 East Third Street Suite 302, Chattanooga, TN 37403. The listed phone number is (423) 664-5165.

What is James Sizemore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Sizemore enrolled in Medicare?

Yes. James Sizemore 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 James Sizemore accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list James Sizemore 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 Sizemore affiliated with any hospitals?

According to CMS data, James Sizemore is affiliated with Memorial Healthcare System, Inc and Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for James Sizemore was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.