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PROVIDER PROFILE · NPI 1265436521

Ray JamesMD

GastroenterologyMurfreesboro, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 420098
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
124
Unique beneficiaries
—
Total services
124
Distinct HCPCS
3
Medicare payment
$15K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 258 Gastroenterology providers in TN — bottom quintile (cohort median 809).
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
88.1
Quality
73.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.55%
APM Entity
REFERRAL NETWORK

Where Ray James's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 32 inbound referrers · 68 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
RIVERSIDE HOSPITAL INC3251,767
NPI 123513307596225
SENTARA HOSPITALS51227
DEMEO, JONATHAN47135
Dennie Bartol
Diagnostic Radiology · Newport News, VA
39152
Thomas Pincus
Diagnostic Radiology · Newport News, VA
38112
James Baylous
Interventional Radiology · Newport News, VA
38130
Jon Elliott
Diagnostic Radiology · Newport News, VA
37115
GILLEN, WILLIAM29113
Charles Vaughan
Cardiology · Newport News, VA
29119
Richard Edwards
Cardiology · Newport News, VA
2786
STOLDT, CURTIS2554
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
RIVERSIDE HOSPITAL INC6093,079
Theresa Emory
Pathology · Newport News, VA
142367
Michael Schwartz
Pathology · Newport News, VA
113292
David Smith
Pathology · Newport News, VA
92237
SENTARA HOSPITALS65215
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
60176
Deadra Maxwell
Certified Registered Nurse Anesthetist (CRNA) · Newport News, VA
59133
NPI 12351330754391
DEMEO, JONATHAN3693
James Baylous
Interventional Radiology · Newport News, VA
36106
Dennie Bartol
Diagnostic Radiology · Newport News, VA
34113
Thomas Pincus
Diagnostic Radiology · Newport News, VA
33104
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.