DR. JAMES ANDERSON SHIRLEY M.D
NPI 1427176429
Radiology - Diagnostic Radiology in Traverse City, MI
About Dr. James Anderson Shirley M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES ANDERSON SHIRLEY M.D (NPI 1427176429) is an individual diagnostic radiology provider in Traverse City, Michigan, licensed in Michigan (4301084293) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Wayne State University School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. James Anderson Shirley 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.
Medicare Billing Reassignments
14Medicare enrollment records show James Shirley reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 65 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Michigan enrollment
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Michigan enrollment
Neenah, WI 54956
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Roseville, MI 48066
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Michigan enrollment
Beloit, WI 53511
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Columbus, OH 43214
- Reassigned Medicare billing, Michigan enrollment
- 17 clinicians in this Medicare group
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 57
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WISt. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WISouthwest Health Center
Critical Access Hospitals · Platteville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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 Shirley's NPI number?
The NPI number for James Shirley is 1427176429. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is James Shirley located?
James Shirley practices at 9958 Peninsula Dr, Traverse City, MI 49686. The listed phone number is (231) 421-5722.
What is James Shirley's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is James Shirley enrolled in Medicare?
Yes. James Shirley 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.
Which organizations bill Medicare for James Shirley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Shirley reassigns Medicare benefits to 14 organizations: Orthopedic & Sports Medicine Specialists Of Green Bay, Sc (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Green Bay Radiology Sc (Green Bay, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Gbr Sheboygan LLC (Sheboygan, WI) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Shirley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Shirley accept?
Health plans from Blue Cross and Blue Shield of NC, CareSource (Common Ground Healthcare) and Cigna HealthCare of Arizona, Inc list James Shirley 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 Shirley affiliated with any hospitals?
According to CMS data, James Shirley is affiliated with Thedacare Regional Med Ctr - Neenah, St. Agnes Hospital Hospice, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca and Southwest Health Center.
When was this NPI record last updated?
The NPPES record for James Shirley was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.