JAMES K POLINER MD
NPI 1861405409
Internal Medicine - Pulmonary Disease in Murfreesboro, TN

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
1800 MEDICAL CENTER PKWY STE 310, MURFREESBORO, TN 37129(615) 849-9868(615) 898-1882 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James K Poliner Md NPPES

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

JAMES K POLINER MD (NPI 1861405409) is an individual pulmonary disease provider in Murfreesboro, Tennessee, licensed in Tennessee (MD50580) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1984).

NPPES Registry Identity

NPI1861405409
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJAMES K POLINERCredential: MD
Location Address1800 MEDICAL CENTER PKWY STE 310Murfreesboro, TN 37129-2586
Mailing Address1800 Medical Center Pkwy Ste 310Murfreesboro, TN 37129-2586 · (615) 849-9868 · Fax (615) 898-1882
Fax(615) 898-1882
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1984
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 30, 2016
NPI 1861405409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in TN · MD50580 Licensed in NM · 83-308
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 50580 (TN)
1800 MEDICAL CENTER PKWY STE 310, Murfreesboro, TN 37129

Other Identifiers 2

Medicare PIN343628402
Medicaid000Q3637NM

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 K Poliner 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 ID8224045273
PECOS Enrollment IDI20131113001835
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 11

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
168 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
161 services92 patients
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.
104 services59 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.
45 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services23 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
34 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

Dekalb Community Hospital

Acute Care Hospitals · Smithville, TN
OwnershipVoluntary non-profit - Church
CMS Certification Number440148
Location520 W Main StSmithville, TN 37166 · De Kalb County
Emergency services

Saint Thomas River Park Hospital

Acute Care Hospitals · Mcminnville, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440151
Location1559 Sparta StreetMcminnville, TN 37110 · Warren 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
2 suppliers14 claims14 services$1.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers24 claims24 services$16.27 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$40.06 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
5 suppliers56 claims56 services$912.83 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$8.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers87 claims87 services$89.07 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 13

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

Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Nurse Practitioner (Acute Care)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Critical Care Medicine)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Specialist
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129
Internal Medicine (Pulmonary Disease)
1800 MEDICAL CENTER PKWY STE 310
MURFREESBORO, TN 37129

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 Poliner's NPI number?

The NPI number for James Poliner is 1861405409. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is James Poliner located?

James Poliner practices at 1800 Medical Center Pkwy Ste 310, Murfreesboro, TN 37129. The listed phone number is (615) 849-9868.

What is James Poliner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Poliner enrolled in Medicare?

Yes. James Poliner 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 Poliner 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 Poliner 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 Poliner affiliated with any hospitals?

According to CMS data, James Poliner is affiliated with Saint Thomas Rutherford Hospital, Dekalb Community Hospital and Saint Thomas River Park Hospital.

When was this NPI record last updated?

The NPPES record for James Poliner was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.