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JAMES O FORDICE MD
NPI 1801878905
Otolaryngology in Murfreesboro, TN

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
1370 GATEWAY BLVD., SUITE 100, MURFREESBORO, TN 37129(615) 848-9265(615) 895-2155 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James O Fordice Md NPPES

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

JAMES O FORDICE MD (NPI 1801878905) is an individual otolaryngology provider in Murfreesboro, Tennessee, licensed in Tennessee (30184) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Stonecrest Medical Center, and maintains a secondary practice location in Smyrna.

NPPES Registry Identity

NPI1801878905
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAMES O FORDICECredential: MD
Location Address1370 GATEWAY BLVD., SUITE 100Murfreesboro, TN 37129-2590
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018
Phone(615) 848-9265
Fax(615) 895-2155
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1991
Enumeration DateNovember 16, 2005
Last NPPES UpdateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1801878905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TN · 30184✔ Licensed in TX · J3308
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1370 GATEWAY BLVD., Murfreesboro, TN 37129
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Secondary Practice Location 1

Location 1300 Stonecrest Blvd Ste 375Smyrna, TN 37167-6825 · Phone (615) 848-9265

Other Identifiers 13

Other5845651TN · Aetna
Medicaid6472060000KY
OtherTN137TN · Americhoice
Other1071161Usa Managed Care
Other0987523TN · Cigna
Other1343463TN · Coventry/first Health
Other01158809TN · Amerigroup
Other12079238TN · Multiplan/phcs
Medicaid38241311TN
Other4165055TN · Bcbs Of Tn
Other924317TN · Advantra Freedom Medicare
OtherP00477337TN · Medicare Rr
Other1807323TN · United Health Care

Accepted Insurance

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

James O Fordice 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 ID9537255682
PECOS Enrollment IDI20071214000523
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 7

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.
166 services123 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.
124 services124 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.
120 services102 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
62 services51 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
58 services49 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
29 services25 patients

Hospital Affiliations CMS Care Compare

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

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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
$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.

Other Providers at the Same Location NPPES 5

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

DR. LIBBY A. LONG MD
Pediatrics
1370 GATEWAY BLVD., SUITE 110
MURFREESBORO, TN 37129
Rutherford County (615) 890-9008
MELINDA BECKMAN MALLETTE MD
Pediatrics
1370 GATEWAY BLVD., SUITE 110
MURFREESBORO, TN 37129
Rutherford County (615) 890-9008
JOSEPH A LITTLE MD
Pediatrics
1370 GATEWAY BLVD., SUITE 110
MURFREESBORO, TN 37129
Rutherford County (615) 890-9008
TIMOTHY M HENSCHEL MD
Pediatrics
1370 GATEWAY BLVD., SUITE 110
MURFREESBORO, TN 37129
Rutherford County (615) 890-9008
EDWARD D. EASTHAM MD
Pediatrics
1370 GATEWAY BLVD., SUITE 110
MURFREESBORO, TN 37129
Rutherford County (615) 890-9008

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 Fordice's NPI number?

The NPI number for James Fordice is 1801878905. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is James Fordice located?

James Fordice practices at 1370 Gateway Blvd. Suite 100, Murfreesboro, TN 37129. The listed phone number is (615) 848-9265.

What is James Fordice's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Fordice enrolled in Medicare?

Yes. James Fordice 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 Fordice 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 4 other insurers list James Fordice 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 Fordice affiliated with any hospitals?

According to CMS data, James Fordice is affiliated with Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for James Fordice was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.