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DR. JUDITH J BOGGESS M.D.
NPI 1457315848
Internal Medicine in East Ridge, TN

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
66.48/100
CMS Quality Rating
1508 TOMBRAS AVE, EAST RIDGE, TN 37412(423) 867-4969(423) 805-4213 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith J Boggess M.d. NPPES

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

DR. JUDITH J BOGGESS M.D. (NPI 1457315848) is an individual internal medicine provider in East Ridge, Tennessee, licensed in Tennessee (41642) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1988).

NPPES Registry Identity

NPI1457315848
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUDITH J BOGGESSCredential: M.D.
Location Address1508 TOMBRAS AVEEast Ridge, TN 37412-2720
Mailing Address1508 Tombras AveEast Ridge, TN 37412-2720 · (423) 867-4969 · Fax (423) 805-4213
Phone(423) 867-4969
Fax(423) 805-4213
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1988
Enumeration DateApril 13, 2006
Last NPPES UpdateNovember 23, 2019
✔ NPI 1457315848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 41642
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1508 TOMBRAS AVE, East Ridge, TN 37412
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Other Names 1

Professional Name (2)J Joy Boggess M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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

Dr. Judith J Boggess 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 ID6406959717
PECOS Enrollment IDI20070307000081
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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
131 services97 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
72 services61 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
35 services29 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
25 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37412 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.

66.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.4
Promoting Interoperability61
Improvement Activities40
Cost39.3

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.

PATRICIA DIANE BLASICK PA
Physician Assistant (Medical)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
MS. ANNE REBECCA NEUMANN FNP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
MICHELE ROBERTS FNP
Nurse Practitioner (Family)
1508 TOMBRAS AVE
CHATTANOOGA, TN 37412
Hamilton County (423) 867-4974
AMIN SOHANI NP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
MARCILE HELEN LEAF FNP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
KELLIE LAWRENCE HENDERSON PA
Physician Assistant (Medical)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
AMY DAWN LATHAM N.P.
Nurse Practitioner (Family)
1508 TOMBRAS AVE
EAST RIDGE, TN 37412
Hamilton County (423) 867-4969
SHANNA MAGLOIRE REGIS FNP-C
Nurse Practitioner (Family)
1508 TOMBRAS AVE
CHATTANOOGA, TN 37412
Hamilton County (423) 867-4969

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 Judith Boggess's NPI number?

The NPI number for Judith Boggess is 1457315848. It was assigned to this individual provider in the NPPES registry on April 13, 2006. The provider is also known as J Joy Boggess M.D..

Where is Judith Boggess located?

Judith Boggess practices at 1508 Tombras Ave, East Ridge, TN 37412. The listed phone number is (423) 867-4969.

What is Judith Boggess's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Judith Boggess enrolled in Medicare?

Yes. Judith Boggess 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 Judith Boggess accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Judith Boggess 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.

When was this NPI record last updated?

The NPPES record for Judith Boggess was last updated on November 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.