JAMES D PEYTON M.D.
NPI 1881646073
Internal Medicine - Medical Oncology in Lebanon, TN

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
115 WINWOOD DR, STE 205, LEBANON, TN 37087(615) 453-5623 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James D Peyton M.d. NPPES

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

JAMES D PEYTON M.D. (NPI 1881646073) is an individual medical oncology provider in Lebanon, Tennessee, licensed in Tennessee (34223) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1998).

NPPES Registry Identity

NPI1881646073
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameJAMES D PEYTONCredential: M.D.
Location Address115 WINWOOD DR, STE 205Lebanon, TN 37087-1340
Mailing AddressPo Box 440100Nashville, TN 37244-0100 · (615) 329-0570
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1998
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 27, 2012
NPI 1881646073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in TN · 34223
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
115 WINWOOD DR, Lebanon, TN 37087

Other Identifiers 6

Other900004445Railroad Medicare
Other4059666Bcbs
Medicaid3859331TN
Medicaid64922834KY
Other7023344Aetna
Medicare PIN3859334TN

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 D Peyton 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 ID941212328
PECOS Enrollment IDI20060629000304
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 61

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.

Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
55,210 services40 patients
Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
33,000 services23 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
11,600 services77 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
11,520 services77 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,020 services45 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
2,933 services636 patients

Hospital Affiliations CMS Care Compare 5

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number441305
Location204 Medical DriveLafayette, TN 37083 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
66%3,318 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
24%265 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
73%338 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%1,548 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
12%1,548 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,548 patients1/55-star benchmark: 59%
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 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier16 claims1,549 services$0.69 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier16 claims16 services$18.90 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.

Nurse Practitioner (Adult Health)
115 WINWOOD DR, SUITE 105
LEBANON, TN 37087
Physician Assistant
115 WINWOOD DR, SUITE 105
LEBANON, TN 37087
Nurse Practitioner (Pediatrics)
115 WINWOOD DR, STE 105
LEBANON, TN 37087
Non-Pharmacy Dispensing Site
115 WINWOOD DR, STE 205
LEBANON, TN 37087

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 Peyton's NPI number?

The NPI number for James Peyton is 1881646073. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is James Peyton located?

James Peyton practices at 115 Winwood Dr Ste 205, Lebanon, TN 37087. The listed phone number is (615) 453-5623.

What is James Peyton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is James Peyton enrolled in Medicare?

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

According to CMS data, James Peyton is affiliated with Cookeville Regional Medical Center, Ascension Saint Thomas Hospital, Tristar Summit Medical Center, Vanderbilt Wilson County Hospital and Macon Community Hospital.

When was this NPI record last updated?

The NPPES record for James Peyton was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.