JAMES M ANDREWS MD
NPI 1255312336
Internal Medicine - Sleep Medicine in Memphis, TN

Q: What is James Andrews's NPI number?

The NPI number for James Andrews is 1255312336. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is James Andrews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for James Andrews was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment

90.88/100

CMS Quality Rating

5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157(901) 276-2662(901) 274-1871 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About James M Andrews Md NPPES

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

JAMES M ANDREWS MD (NPI 1255312336) is an individual sleep medicine provider in Memphis, Tennessee, licensed in Tennessee (16560) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1985).

NPPES Registry Identity

NPI1255312336

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameJAMES M ANDREWSCredential: MD

Location Address5050 POPLAR AVE, SUITE 800Memphis, TN 38157-0101

Mailing Address5050 Poplar Ave, Suite 800Memphis, TN 38157-0101 · (901) 276-2662 · Fax (901) 274-1871

Phone(901) 276-2662

Fax(901) 274-1871

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1985

Enumeration DateNovember 7, 2005

Last NPPES UpdateNovember 12, 2019

✔ NPI 1255312336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in TN · 16560

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 16560 (TN)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 16560 (TN)

5050 POPLAR AVE, Memphis, TN 38157

Open in Google Maps ↗

Other Identifiers 1

Medicaid3865556TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company 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

James M Andrews 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 ID6204916620

PECOS Enrollment IDI20111122000666

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 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

684 services582 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

188 services175 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

149 services139 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

96 services95 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.

96 services78 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.

91 services56 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

74 services74 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

59 services50 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.

36 services23 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

34 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

28 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

24 services16 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.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440228

Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38157 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.

90.88/100

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

Scored as part of a group practice

Quality

94.74

Promoting Interoperability

Improvement Activities

Cost

65.4

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

18 suppliers185 claims185 services$31.64 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers18 claims43 services$1.32 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

13 suppliers313 claims314 services$70.64 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

12 suppliers227 claims395 services$29.51 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

19 suppliers504 claims1,391 services$15.89 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

13 suppliers210 claims551 services$11.82 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

26 suppliers641 claims641 services$45.30 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

24 suppliers572 claims572 services$15.00 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

12 suppliers51 claims51 services$8.41 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

19 suppliers664 claims664 services$10.67 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

26 suppliers1,303 claims3,951 services$1.75 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

19 suppliers397 claims397 services$5.10 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

19 suppliers281 claims281 services$10.67 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

8 suppliers70 claims70 services$15.88 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$40.80 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$909.65 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers34 claims34 services$72.89 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

10 suppliers90 claims90 services$111.78 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers145 claims145 services$9.31 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers64 claims64 services$5.44 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

20 suppliers1,114 claims1,114 services$26.28 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

8 suppliers244 claims244 services$74.79 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers131 claims131 services$34.34 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

7 suppliers14 claims1,080 services$4.93 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

9 suppliers14 claims3,813 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers38 claims4,260 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers19 claims1,080 services$0.83 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

17 suppliers57 claims57 services$25.14 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 20

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

DR. BARRY R SIEGEL M.D.

Internal Medicine

5050 POPLAR AVE, WHITE STATION TOWER, SUITE 611
MEMPHIS, TN 38157

Shelby County (901) 682-1639

DR. MARK DOUGLAS WINBORN PH.D.

Psychologist (Clinical)

5050 POPLAR AVE, SUITE 1633
MEMPHIS, TN 38157

Shelby County (901) 766-1890

DR. JOHN J HARRIS MD

Specialist

5050 POPLAR AVE, SUITE 618
MEMPHIS, TN 38157

Shelby County (901) 682-3035

DONNA TOSCHES L.C.S.W

Social Worker (Clinical)

5050 POPLAR AVE, SUITE 1118
MEMPHIS, TN 38157

Shelby County (901) 683-5658

JOHN J HARRIS MD PC

Psychiatry & Neurology (Psychiatry)

5050 POPLAR AVE, SUITE 618
MEMPHIS, TN 38157

Shelby County (901) 682-3035

METHODIST LE BONHEUR HEALTHCARE EAP

Counselor (Professional)

5050 POPLAR AVE, SUITE # 1118
MEMPHIS, TN 38157

Shelby County (901) 683-5658

DR. GARRETTSON S ELLIS M.D.

Internal Medicine (Critical Care Medicine)

5050 POPLAR AVE, SUITE 800
MEMPHIS, TN 38157

Shelby County (901) 276-2662

DR. EDWIN O TAYLOR MD

Internal Medicine (Critical Care Medicine)

5050 POPLAR AVE, SUITE 800
MEMPHIS, TN 38157

Shelby County (901) 276-2662

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 Andrews's NPI number?

The NPI number for James Andrews is 1255312336. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is James Andrews located?

James Andrews practices at 5050 Poplar Ave Suite 800, Memphis, TN 38157. The listed phone number is (901) 276-2662.

What is James Andrews's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is James Andrews enrolled in Medicare?

Yes. James Andrews 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 Andrews accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list James Andrews 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 Andrews affiliated with any hospitals?

According to CMS data, James Andrews is affiliated with Methodist Hospitals Of Memphis and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for James Andrews was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.