DR. JAMES ANDERSON SHIRLEY M.D
NPI 1427176429
Radiology - Diagnostic Radiology in Traverse City, MI

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
9958 PENINSULA DR, TRAVERSE CITY, MI 49686(231) 421-5722 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1427176429
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAMES ANDERSON SHIRLEYCredential: M.D
Location Address9958 PENINSULA DRTraverse City, MI 49686-8395
Mailing Address9958 Peninsula DrTraverse City, MI 49686-8395 · (734) 421-5722
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2004
Enumeration DateMarch 27, 2007
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1427176429 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 MI · 4301084293
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9958 PENINSULA DR, Traverse City, MI 49686

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.

PECOS PAC ID9830243203
PECOS Enrollment IDI20090819000555, I20220322002236, I20260515000124
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.

Medicare Billing Reassignments

14

Medicare 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.

Specialist
2223 LIME KILN RD, SUITE 1
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 65 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Diagnostic Radiology
2941 S RIDGE RD
Green Bay, WI 54304
  • Reassigned Medicare billing, Michigan enrollment
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
Diagnostic Radiology
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Michigan enrollment
Diagnostic Radiology
333 N COMMERCIAL ST
Neenah, WI 54956
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
Methadone
25200 KELLY RD
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
Diagnostic Radiology
700 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Michigan enrollment
Diagnostic Radiology
1969 W HART RD
Beloit, WI 53511
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Diagnostic Radiology
3525 OLENTANGY RIVER RD, STE 5360
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.

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.
327 services321 patients
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.
284 services250 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.
278 services275 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.
235 services232 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.
137 services135 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.
126 services73 patients

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, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%43 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.