JAMES PATRICK ANDERSON M.D.
NPI 1689671802
Specialist in Goodlettsville, TN

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
44.19/100
CMS Quality Rating
314 BLUEBIRD DR, GOODLETTSVILLE, TN 37072(615) 851-5757(615) 851-4607 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Patrick Anderson M.d. NPPES

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

JAMES PATRICK ANDERSON M.D. (NPI 1689671802) is an individual specialist in Goodlettsville, Tennessee, licensed in Tennessee (20682) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of West Virginia University School Of Medicine (1984).

NPPES Registry Identity

NPI1689671802
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAMES PATRICK ANDERSONCredential: M.D.
Location Address314 BLUEBIRD DRGoodlettsville, TN 37072-2304
Mailing Address314 Bluebird DrGoodlettsville, TN 37072-2304 · (615) 851-5757 · Fax (615) 851-4607
Fax(615) 851-4607
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1984
Enumeration DateJuly 1, 2005
Last NPPES UpdateApril 30, 2012
NPI 1689671802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 20682
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

314 BLUEBIRD DR, Goodlettsville, TN 37072

Other Identifiers 3

Medicare ID-Type Unspecified3055113TN
Medicaid3055113TN
Medicare UPINA72459

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

James Patrick Anderson 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 ID4183680747
PECOS Enrollment IDI20060328000102
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 22

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.
1,524 services430 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
588 services267 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
163 services163 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
163 services163 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
108 services17 patients
Nerve conduction, 13 or more studies 95913
Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.
94 services94 patients

Hospital Affiliations CMS Care Compare 4

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

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440065
Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County
Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

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.

44.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40
Improvement Activities0
Cost89.95

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
3%3,121 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
10%307 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%447 patients1/55-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 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers29 claims29 services$35.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers39 claims39 services$86.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers36 claims84 services$29.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims52 services$15.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$49.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers32 claims32 services$17.47 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 4

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

Radiologic Technologist (Sonography)
314 BLUEBIRD DR
GOODLETTSVILLE, TN 37072
Radiology (Diagnostic Ultrasound)
314 BLUEBIRD DR
GOODLETTSVILLE, TN 37072
Specialist
314 BLUEBIRD DR
GOODLETTSVILLE, TN 37072
Nurse Practitioner
314 BLUEBIRD DR
GOODLETTSVILLE, TN 37072

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 Anderson's NPI number?

The NPI number for James Anderson is 1689671802. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is James Anderson located?

James Anderson practices at 314 Bluebird Dr, Goodlettsville, TN 37072. The listed phone number is (615) 851-5757.

What is James Anderson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Anderson enrolled in Medicare?

Yes. James Anderson 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 Anderson accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list James Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, James Anderson is affiliated with Tennova Healthcare-Clarksville, Tristar Northcrest Medical Center, Henry County Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for James Anderson was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.