DR. JAMES M STAFFORD M.D.
NPI 1790730448
Radiology - Diagnostic Radiology in Nashville, TN

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
83.58/100
CMS Quality Rating
210 25TH AVE N STE 1204, NASHVILLE, TN 37203(615) 312-0600(615) 320-3259 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2021, Jul 3, 2018, Jun 28, 2018 (3 updates tracked since 2018).

About Dr. James M Stafford M.d. NPPES

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

DR. JAMES M STAFFORD M.D. (NPI 1790730448) is an individual diagnostic radiology provider in Nashville, Tennessee, licensed in Tennessee (0000035698) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790730448
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAMES M STAFFORDCredential: M.D.
Location Address210 25TH AVE N STE 1204Nashville, TN 37203-1620
Mailing Address210 25th Ave N Ste 1204Nashville, TN 37203-1620 · (615) 312-0600 · Fax (615) 320-3259
Fax(615) 320-3259
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1790730448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TN · 0000035698✔ Licensed in FL · ME92288
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
210 25TH AVE N STE 1204, Nashville, TN 37203

Secondary Practice Locations 3

Location 12018 Murphy Ave Ste 200Nashville, TN 37203-1929 · Phone (615) 320-7387
Location 24488 Carothers Pkwy Ste 110Franklin, TN 37067-6584 · Phone (615) 320-7387
Location 3103 Physicians Way Ste 100Lebanon, TN 37090-4129 · Phone (615) 443-7436

Other Identifiers 4

Other1512037TN · Tsc
Other1512037TN · Tnonc
Medicaid1512037TN
Medicaid64125545KY

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 M Stafford 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 ID5597794685
PECOS Enrollment IDI20061004000312, I20221025002332
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

6

Medicare enrollment records show James Stafford reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
210 25TH AVE N STE 602
Nashville, TN 37203
  • Reassigned Medicare billing, Kentucky and Tennessee enrollments
  • 144 clinicians in this Medicare group
Hematology & Oncology
2004 HAYES ST STE 350
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 464 clinicians in this Medicare group
Diagnostic Radiology
103 PHYSICIANS WAY STE 100
Lebanon, TN 37090
  • Reassigned Medicare billing, Tennessee enrollment
  • 35 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
Diagnostic Radiology
1601 WATSON BLVD, HOUSTON MEDICAL CENTER, ATTN: RADIOLOGY DEPT
Warner Robins, GA 31093
  • Reassigned Medicare billing, Tennessee enrollment
Otolaryngology
504 E RIDGEVILLE BLVD STE 110
Mount Airy, MD 21771
  • Reassigned Medicare billing, Maryland enrollment
  • 317 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 50

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.

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.
1,443 services1,238 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.
1,099 services1,046 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.
510 services494 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
342 services341 patients
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.
342 services337 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.
245 services241 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Levindale Hebrew Geriatric Center And Hospital

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210064
Location2434 West Belvedere AvenueBaltimore, MD 21209 · Baltimore City County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

83.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.15
Promoting Interoperability100
Improvement Activities40
Cost62.64

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.

Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203
Radiology (Diagnostic Radiology)
210 25TH AVE N STE 1204
NASHVILLE, TN 37203

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 Stafford's NPI number?

The NPI number for James Stafford is 1790730448. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is James Stafford located?

James Stafford practices at 210 25th Ave N Ste 1204, Nashville, TN 37203. The listed phone number is (615) 312-0600.

What is James Stafford's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Stafford enrolled in Medicare?

Yes. James Stafford 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 Stafford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Stafford reassigns Medicare benefits to 6 organizations: Radiology Alliance PC (Nashville, TN), Tennessee Oncology PLLC (Nashville, TN), Lebanon Pet Scan Center, LLC (Lebanon, TN), Emory Specialty Associates, LLC (Lagrange, GA), Universal Radiology Consultants PC (Warner Robins, GA) and 1 more organization, 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 Stafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Stafford accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list James Stafford 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 Stafford affiliated with any hospitals?

According to CMS data, James Stafford is affiliated with Houston Healthcare, Sinai Hospital Of Baltimore, Carroll Hospital Center, Northwest Hospital Center and Levindale Hebrew Geriatric Center And Hospital.

When was this NPI record last updated?

The NPPES record for James Stafford was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.