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JAMES EDWARD EGAN MD
NPI 1457346041
Internal Medicine - Gastroenterology in Jackson, TN

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
2863 HIGHWY 45 BYP, JACKSON, TN 38305(731) 422-0213(731) 422-0357 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2025, Dec 6, 2023, Oct 25, 2023 (3 updates tracked since 2023).

About James Edward Egan Md NPPES

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

JAMES EDWARD EGAN MD (NPI 1457346041) is an individual gastroenterology provider in Jackson, Tennessee, licensed in Tennessee (31346) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1457346041
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJAMES EDWARD EGANCredential: MD
Location Address2863 HIGHWY 45 BYPJackson, TN 38305-3618
Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 425-5752 · Fax (731) 425-5783
Phone(731) 422-0213
Fax(731) 422-0357
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateSeptember 20, 2005
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1457346041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TN · 31346✔ Licensed in HI · MD-23277
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2863 HIGHWY 45 BYP, Jackson, TN 38305
Open in Google Maps ↗

Secondary Practice Location 1

Location 127A Medical Center DrJackson, TN 38301-3949 · Phone (731) 424-1001 · Fax (731) 424-2249

Other Identifiers 2

Medicaid3839650TN
MedicaidQ017378TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.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

James Edward Egan 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 ID8820131048
PECOS Enrollment IDI20100210000061
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

5

Medicare enrollment records show James Egan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Tennessee Medical Group Inc
3.4 mi
Internal Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 242 clinicians in this Medicare group
NPI 1053615955 (731) 660-8730
Gastroenterology Center Of The Midsouth PLLC
67 mi
Gastroenterology
8000 WOLF RIVER BLVD STE 200
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 154 clinicians in this Medicare group
NPI 1417932492 (901) 747-3630
San Juan Regional Medical Center Inc
1,071 mi
Family Medicine
100 N CHURCH ST STE C
Bloomfield, NM 87413
  • Reassigned Medicare billing, New Mexico enrollment
  • 368 clinicians in this Medicare group
NPI 1508219916 (505) 609-6675
Hilo Benioff Medical Center
4,132 mi
General Acute Care Hospital
1190 WAIANUENUE AVE
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 263 clinicians in this Medicare group
NPI 1780757856 (808) 932-3000
Kau Hospital
4,170 mi
Critical Access
1 KAMANI STREET
Pahala, HI 96777
  • Reassigned Medicare billing, Hawaii enrollment
  • 208 clinicians in this Medicare group
NPI 1982276127 (808) 932-4200

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 3

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services24 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services22 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MRS. STEPHANIE R LITTLE P.A.
Physician Assistant
2863 HIGHWY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213
CHIMA O OLERU MD
Internal Medicine (Nephrology)
2863 HIGHWY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213
DR. VICTOR C NWAZUE M.D.
Internal Medicine (Nephrology)
2863 HIGHWY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213
DR. THOMAS W ELLIS M.D.
Internal Medicine (Pulmonary Disease)
2863 HIGHWY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213

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 Egan's NPI number?

The NPI number for James Egan is 1457346041. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is James Egan located?

James Egan practices at 2863 Highwy 45 Byp, Jackson, TN 38305. The listed phone number is (731) 422-0213.

What is James Egan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Egan enrolled in Medicare?

Yes. James Egan 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 Egan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Egan reassigns Medicare benefits to 5 organizations: West Tennessee Medical Group Inc (Jackson, TN), Gastroenterology Center Of The Midsouth PLLC (Germantown, TN), San Juan Regional Medical Center Inc (Bloomfield, NM), Hilo Benioff Medical Center (Hilo, HI) and Kau Hospital (Pahala, HI). 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 Egan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Egan accept?

Health plans from Cigna Healthcare and Oscar Insurance Company list James Egan 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 Egan affiliated with any hospitals?

According to CMS data, James Egan is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for James Egan was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.