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JAMES M SHIPLEY MD
NPI 1912957937
Family Medicine in Elizabethton, TN

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
1497 W ELK AVE, SUITE 21, ELIZABETHTON, TN 37643(423) 542-7420(423) 542-7425 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2017, Feb 29, 2016 (2 updates tracked since 2016).

About James M Shipley Md NPPES

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

JAMES M SHIPLEY MD (NPI 1912957937) is an individual family medicine provider in Elizabethton, Tennessee, licensed in Tennessee (35197) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (1998).

NPPES Registry Identity

NPI1912957937
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES M SHIPLEYCredential: MD
Location Address1497 W ELK AVE, SUITE 21Elizabethton, TN 37643-2895
Mailing Address1497 W Elk Ave, Suite 21Elizabethton, TN 37643-2895 · (423) 542-7420 · Fax (423) 542-7425
Phone(423) 542-7420
Fax(423) 542-7425
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1998
Enumeration DateMay 11, 2006
Last NPPES UpdateFebruary 9, 20172 updates tracked since enumeration
✔ NPI 1912957937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 35197
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1497 W ELK AVE, Elizabethton, TN 37643
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Other Identifiers 4

MedicaidQ003315TN
Medicare UPIN3709285TN
Medicaid1912957937VA
Medicare PIN3865578TN

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 M Shipley 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 ID4486673019
PECOS Enrollment IDI20051114000386
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

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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37643 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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 9

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$86.65 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier12 claims12 services$15.94 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier18 claims18 services$37.04 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.37 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims33 services$13.30 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$159.95 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.

MR. KERMIT L. DUGGER FNP, PMHNP
Nurse Practitioner (Family)
1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643
Carter County (423) 542-8929
MRS. TIFFANY CHARLOTTE JENKINS FNP
Nurse Practitioner (Family)
1497 W ELK AVE, SUITE 21
ELIZABETHTON, TN 37643
Carter County (423) 542-7420
BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Internal Medicine
1497 W ELK AVE, SUITE 20
ELIZABETHTON, TN 37643
Carter County (423) 547-2762
ELIZABETH ANNE DEFLUITER MD
Surgery
1497 W ELK AVE, SUITE 10
ELIZABETHTON, TN 37643
Carter County (423) 542-7440
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Hematology & Oncology)
1497 W ELK AVE, SUITE 11A
ELIZABETHTON, TN 37643
Carter County (423) 232-6900
MRS. MEGAN D JOHNSON
Family Medicine
1497 W ELK AVE, SUITE 21
ELIZABETHTON, TN 37643
Carter County (423) 542-7420
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643
Carter County (423) 542-8929
DR. BUDDY J CLAYTON MD
Family Medicine
1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643
Carter County (423) 542-8929

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 Shipley's NPI number?

The NPI number for James Shipley is 1912957937. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is James Shipley located?

James Shipley practices at 1497 W Elk Ave Suite 21, Elizabethton, TN 37643. The listed phone number is (423) 542-7420.

What is James Shipley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Shipley enrolled in Medicare?

Yes. James Shipley 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.

When was this NPI record last updated?

The NPPES record for James Shipley was last updated on February 9, 2017. 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.