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

Q: 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.

Q: 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.

Q: 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 4 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.

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: October 25, 2026.

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

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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 Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show James Bekeny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centennial Surgical Clinic, LLC

0.1 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2400 PATTERSON ST STE 215
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
16 clinicians in this Medicare group

NPI 1992009500 (615) 342-7345

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 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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440073

Location1224 Trotwood AveColumbia, TN 38401 · Maury 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 Interoperability

100

Improvement Activities

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.

Which organization bills Medicare for James Bekeny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Bekeny reassigns Medicare benefits to Centennial Surgical Clinic, LLC (Nashville, TN). The 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 Bekeny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Bekeny accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, 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, Maury Regional Hospital 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 4 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.