DALTON JAMES PORCHE
NPI 1174292445
Nurse Anesthetist, Certified Registered in Madison, TN

Q: What is Dalton Porche's NPI number?

The NPI number for Dalton Porche is 1174292445. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Q: What is Dalton Porche's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Dalton Porche was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 09, 2021Accepts Medicare Assignment

77.32/100

CMS Quality Rating

315 HOSPITAL DR, MADISON, TN 37115(615) 868-6503 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 6, 2023, Sep 9, 2021 (2 updates tracked since 2021).

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About Dalton James Porche NPPES

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

DALTON JAMES PORCHE (NPI 1174292445) is an individual nurse anesthetist, certified registered in Madison, Tennessee, licensed in Georgia (136268) and active in the NPI registry since September 2021. He is affiliated with Wellstar West Georgia Medical Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174292445

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDALTON JAMES PORCHE

Location Address315 HOSPITAL DRMadison, TN 37115-5030

Mailing Address865 Bellevue Rd Apt F2Nashville, TN 37221-2715 · (770) 549-1002

Phone(615) 868-6503

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 9, 2021

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1174292445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in GA · 136268

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN258274 (GA)

315 HOSPITAL DR, Madison, TN 37115

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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 and accepts Medicare assignment

Dalton James Porche 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 ID8628455904

PECOS Enrollment IDI20220509000803

Medicare Billing Reassignments

Medicare enrollment records show Dalton Porche reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Urology Institute Of Georgia, LLC

176 mi

Urology

49 GORDON RD, SUITE 103
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
95 clinicians in this Medicare group

NPI 1386455582 (678) 344-8900

Advanced Urology Anesthesia, LLC

223 mi

Specialist

1557 JANMAR RD.
Snellville, GA 30078

Reassigned Medicare billing, Georgia enrollment
75 clinicians in this Medicare group

NPI 1215365242 (678) 344-8900

Sentry Anesthesia Management, LLC

226 mi

Anesthesiology

80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265

Reassigned Medicare billing, Georgia enrollment
729 clinicians in this Medicare group

NPI 1134544794 (770) 251-2060

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 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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110016

Location1514 Vernon RoadLagrange, GA 30240 · Troup County

Emergency services Birthing friendly

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110233

Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37115 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

77.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.32

Improvement Activities

Other Providers at the Same Location NPPES 20

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

CARSON STAFFORD

Nurse Anesthetist, Certified Registered