PROVIDER PROFILE · NPI 1902088644

James DenhamM.D.

PathologyKingsport, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,747

Unique beneficiaries

—

Total services

3,332

Distinct HCPCS

Medicare payment

$173K

Peer benchmark

Total Medicare services vs. 319 Pathology providers in TN — top quintile (cohort median 1,853).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

93.7

Quality

100.0

Cost

78.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.79%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$326

Payment records

By payment type

Food and Beverage$326

REFERRAL NETWORK

Where James Denham'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Michael Sullivan Gastroenterology · Kingsport, TN	537	1,579
Endoscopy Center Of Kingsport Ambulatory Surgical Center · Kingsport, TN	536	738
Joanne Rice Certified Registered Nurse Anesthetist (CRNA) · Kingsport, TN	295	364
Marcos Demoura Certified Registered Nurse Anesthetist (CRNA) · Johnson City, TN	284	349
SOLSTAS LAB PARTNERS GROUP LLC	89	235
WELLMONT HEALTH SYSTEM	87	124
HAMILTON, REBECCA	53	61
Arthur Austin Diagnostic Radiology · Johnson City, TN	18	19
NORTON COMMUNITY HOSPITAL, INC	15	29
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC	14	19
James Louthan Internal Medicine · Kingsport, TN	14	17
Robert Thurman Diagnostic Radiology · Bristol, TN	13	14

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history