What is James Denham's specialty?

James Denham (NPI 1902088644) is a Medicare-billing provider whose primary specialty is Pathology in Kingsport, TN.

Where does James Denham practice?

James Denham practices in Kingsport, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1902088644.

How much does Medicare pay James Denham?

James Denham (NPI 1902088644) received approximately $175K in total Medicare Part B payments, serving 1,292 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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