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JAMES RUSSELL BEKENY MD
NPI 1871811612
Otolaryngology - Plastic Surgery within the Head & Neck in Nashville, TN

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
335 24TH AVE N STE 120, NASHVILLE, TN 37203(615) 342-0290(615) 342-0289 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Jul 9, 2020 (2 updates tracked since 2020).

About James Russell Bekeny Md NPPES

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

JAMES RUSSELL BEKENY MD (NPI 1871811612) is an individual plastic surgery within the head & neck provider in Nashville, Tennessee, licensed in Tennessee (65754) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871811612
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameJAMES RUSSELL BEKENYCredential: MD
Location Address335 24TH AVE N STE 120Nashville, TN 37203-1505
Mailing Address335 24th Ave N Ste 120Nashville, TN 37203-1505 · (615) 342-0290 · Fax (615) 342-0289
Phone(615) 342-0290
Fax(615) 342-0289
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 4, 2010
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1871811612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in TN · 65754
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 35.126440 (OH), ME128330 (FL)
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License ME128330 (FL)
335 24TH AVE N STE 120, Nashville, TN 37203
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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 Russell Bekeny 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 ID1254643273
PECOS Enrollment IDI20220928000059
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 9

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 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.
80 services47 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.
52 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services25 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.
37 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Removal of lymph nodes, muscle, and tissue of neck 38724
This procedure, known as a neck dissection, involves removing lymph nodes, muscle, and tissue from the neck. It's performed to treat or prevent the spread of disease, often cancer. It's a major surgery, but it can help ensure your health and recovery.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
73%37 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%227 patients5/55-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 4

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

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier29 claims4,020 services$2.36 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers20 claims13,047 services$0.27 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
4 suppliers57 claims57 services$31.57 avg. paid by Medicare
Jaw motion rehabilitation system E1700
DME-Other DME · category DE000N
1 supplier16 claims20 services$27.45 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.

CHRISTOPHER BLAKE SULLIVAN MD
Otolaryngology
335 24TH AVE N STE 120
NASHVILLE, TN 37203
Davidson County (615) 342-0290
JORDAN NICOLE PEARSON DNP, ACNPC-AG
Nurse Practitioner (Acute Care)
335 24TH AVE N STE 120
NASHVILLE, TN 37203
Davidson County (615) 342-0290
ALLISON ELIZABETH HOEFERT PA-C
Physician Assistant
335 24TH AVE N STE 120
NASHVILLE, TN 37203
Davidson County (615) 342-0290
VICTORIA PIETROBONO MS, CCC-SLP
Speech-Language Pathologist
335 24TH AVE N STE 120
NASHVILLE, TN 37203
Davidson County (615) 342-0290

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 Bekeny's NPI number?

The NPI number for James Bekeny is 1871811612. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is James Bekeny located?

James Bekeny practices at 335 24th Ave N Ste 120, Nashville, TN 37203. The listed phone number is (615) 342-0290.

What is James Bekeny's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is James Bekeny enrolled in Medicare?

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

According to CMS data, James Bekeny is affiliated with Sumner Regional Medical Center, Tristar Horizon Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for James Bekeny was last updated on October 3, 2022. 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.