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DR. JAMES E ABERNATHY II MD
NPI 1427146539
Family Medicine in Morristown, TN

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
908 W 4TH NORTH ST, MORRISTOWN, TN 37814(423) 736-9474 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2022, Jan 3, 2020, Mar 28, 2018 (3 updates tracked since 2018).

About Dr. James E Abernathy Ii Md NPPES

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

DR. JAMES E ABERNATHY II MD (NPI 1427146539) is an individual family medicine provider in Morristown, Tennessee, licensed in Tennessee (61322) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of East Tennessee State University Quillen College Of Medicine (2018).

NPPES Registry Identity

NPI1427146539
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES E ABERNATHY IICredential: MD
Location Address908 W 4TH NORTH STMorristown, TN 37814-3894
Mailing Address265 Brookview Centre Way Ste 400Knoxville, TN 37919-4052 · (865) 985-7258
Phone(423) 736-9474
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018
Enumeration DateOctober 11, 2006
Last NPPES UpdateSeptember 13, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1427146539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 61322
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA0000001445 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
908 W 4TH NORTH ST, Morristown, TN 37814
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Other Identifiers 1

Medicaid36672801TN

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 E Abernathy Ii 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 ID5799888715
PECOS Enrollment IDI20230124002421
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 6

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.

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.
188 services173 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.
71 services27 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.
63 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37814 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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

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$169.80 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. ALAY MANSUROV M.D.
Internal Medicine (Hematology & Oncology)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-6100
MARK J HARRELL MD
Emergency Medicine
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-5400
EAST TN PHARMACIST CONSULTANTS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 618-8805
KELSEY BICKEL PHARMD
Pharmacist
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (937) 395-4681
KIMBERLY MICHELLE ARROWOOD ANP-BC, GNP-BC
Nurse Practitioner (Adult Health)
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-6100
PATRICIA A HEWITT TAMBEAU RN
Registered Nurse
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 926-1171
EAST TENNESSEE PATHOLOGY, PLLC
Clinical Medical Laboratory
908 W 4TH NORTH ST, MORRISTOWN-HAMBLEN HOSPITAL
MORRISTOWN, TN 37814
Hamblen County (423) 586-4231
KARIE HALL PA-C
Physician Assistant
908 W 4TH NORTH ST
MORRISTOWN, TN 37814
Hamblen County (423) 492-9000

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 Abernathy's NPI number?

The NPI number for James Abernathy is 1427146539. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is James Abernathy located?

James Abernathy practices at 908 W 4th North St, Morristown, TN 37814. The listed phone number is (423) 736-9474.

What is James Abernathy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Abernathy enrolled in Medicare?

Yes. James Abernathy 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.

Is James Abernathy affiliated with any hospitals?

According to CMS data, James Abernathy is affiliated with Morristown Hamblen Hospital Association.

When was this NPI record last updated?

The NPPES record for James Abernathy was last updated on September 13, 2022. 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.