DR. JAMES PAUL TOMPKINS MD
NPI 1508057159
Family Medicine in Byrdstown, TN

Active since August 08, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
601 W MAIN ST, BYRDSTOWN, TN 38549(931) 864-3232(931) 864-3230 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2020, Jan 23, 2020, May 26, 2019 and 2 more (5 updates tracked since 2016).

About Dr. James Paul Tompkins Md NPPES

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

DR. JAMES PAUL TOMPKINS MD (NPI 1508057159) is an individual family medicine provider in Byrdstown, Tennessee, licensed in Tennessee (43198) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with The Medical Center At Albany, and maintains a secondary practice location in Byrdstown.

NPPES Registry Identity

NPI1508057159
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES PAUL TOMPKINSCredential: MD
Location Address601 W MAIN STByrdstown, TN 38549-2400
Mailing Address557 Means RdByrdstown, TN 38549-4601
Fax(931) 864-3230
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2006
Enumeration DateAugust 8, 2007
Last NPPES UpdateJune 5, 20205 updates tracked since enumeration
NPPES CertifiedJune 5, 2020
NPI 1508057159 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 · 43198
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 ListedEmergency MedicineTaxonomy 207P00000X · License 43198 (TN)
Also ListedHospitalistTaxonomy 208M00000X · License 43198 (TN)
601 W MAIN ST, Byrdstown, TN 38549

Secondary Practice Location 1

Location 1557 Means RdByrdstown, TN 38549-4601 · Phone (931) 239-1236

Other Identifiers 3

Medicaid3001434TN
Other6064424TN · Bcbs
Medicaid7100032150KY

Accepted 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. James Paul Tompkins 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 ID5991884637
PECOS Enrollment IDI20080506000393
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 38

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,138 services467 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
1,012 services247 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
808 services349 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
744 services403 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
507 services103 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
423 services89 patients

Hospital Affiliations CMS Care Compare 4

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

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440187
Location315 Oak St Box 550Livingston, TN 38570 · Overton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38549 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Breast Cancer Screening
16%335 patients1/55-star benchmark: 93%
Cervical Cancer Screening
6%413 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
30%132 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
4%777 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
1%181 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
55%181 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,397 patients4/55-star benchmark: 100%
e-Prescribing
97%4,314 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%499 patients1/55-star benchmark: 100%
HIV Screening
0%864 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,319 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,267 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%2,029 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 656 patients
0%656 patients
Provide Patients Electronic Access to Their Health Information
79%1,587 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%211 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 532 patients
Patients totalRate: 12% · 532 patients
10%532 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers58 claims86 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims15 services$1.06 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers48 claims48 services$23.70 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier45 claims45 services$7.97 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers29 claims29 services$44.32 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.65 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 3

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

Nurse Practitioner (Family)
601 W MAIN ST
BYRDSTOWN, TN 38549
Clinic/Center (Rural Health)
601 W MAIN ST
BYRDSTOWN, TN 38549
Clinic/Center (Rural Health)
601 W MAIN ST
BYRDSTOWN, TN 38549

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 Tompkins's NPI number?

The NPI number for James Tompkins is 1508057159. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is James Tompkins located?

James Tompkins practices at 601 W Main St, Byrdstown, TN 38549. The listed phone number is (931) 864-3232.

What is James Tompkins's specialty?

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

Is James Tompkins enrolled in Medicare?

Yes. James Tompkins 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 James Tompkins accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list James Tompkins 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 Tompkins affiliated with any hospitals?

According to CMS data, James Tompkins is affiliated with The Medical Center At Albany, Cumberland Medical Center, Cookeville Regional Medical Center and Livingston Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Tompkins was last updated on June 5, 2020. 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.