DR. JAMES M. STALLWORTH M.D.
NPI 1205813573
Radiology - Diagnostic Radiology in Nashville, TN

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
210 25TH AVE N STE 1204, NASHVILLE, TN 37203(615) 312-0600(615) 320-3259 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2021, Jul 3, 2018, Jun 27, 2018 and 1 more (4 updates tracked since 2017).

About Dr. James M. Stallworth M.d. NPPES

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

DR. JAMES M. STALLWORTH M.D. (NPI 1205813573) is an individual diagnostic radiology provider in Nashville, Tennessee, licensed in Tennessee (MD26677) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Greenview Regional Hospital, and is a graduate of Tulane University School Of Medicine (1990).

NPPES Registry Identity

NPI1205813573
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAMES M. STALLWORTHCredential: M.D.
Location Address210 25TH AVE N STE 1204Nashville, TN 37203-1620
Mailing Address210 25th Ave N Ste 1204Nashville, TN 37203-1620 · (615) 312-0600 · Fax (615) 320-3259
Fax(615) 320-3259
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1990
Enumeration DateDecember 28, 2005
Last NPPES UpdateMarch 4, 20214 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
NPI 1205813573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · MD26677
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
210 25TH AVE N STE 1204, Nashville, TN 37203

Other Identifiers 2

Medicaid3093494TN
Medicaid7100511140KY

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

Dr. James M. Stallworth 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 ID5294759486
PECOS Enrollment IDI20101215000068, I20171215000694
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 36

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,389 services1,193 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
226 services225 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
223 services221 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
195 services172 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
182 services181 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
132 services131 patients

Hospital Affiliations CMS Care Compare 5

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

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203

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 Stallworth's NPI number?

The NPI number for James Stallworth is 1205813573. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is James Stallworth located?

James Stallworth practices at 210 25th Ave N Ste 1204, Nashville, TN 37203. The listed phone number is (615) 312-0600.

What is James Stallworth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Stallworth enrolled in Medicare?

Yes. James Stallworth 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 Stallworth accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list James Stallworth 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 Stallworth affiliated with any hospitals?

According to CMS data, James Stallworth is affiliated with Tristar Greenview Regional Hospital, Tristar Skyline Medical Center, Tristar Summit Medical Center, Tristar Centennial Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for James Stallworth was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.