Adam James, MD
NPI 1295364586ActiveIndividual· Family Medicine· Gallatin, TN
Family Medicine (MD) in Gallatin, Tennessee, trained at East Tennessee State University Quillen College of Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $51,007 for 645 claims, against $12,927 paid for services in 2024. Novo Nordisk Inc was the largest of 4 companies reporting payments in 2025, $291.89 in all, mostly food and beverage.
Overview
| NPI | 1295364586 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 7, 2020 |
| Last updated in NPPES | Feb 8, 2024 |
| Certified by provider | Feb 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 68934 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 237 across 21 procedure codes |
| Paid by Medicare | $12,927 |
Part D prescriptions in 2024
| Prescriptions (claims) | 645 · 1,210 30-day fills |
|---|---|
| Patients | 165 |
| Total drug cost | $51,007 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | East Tennessee State University Quillen College of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Family Practice |
Medical group
- Sumner Physician Practices LLCGallatin, TN · 60 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$291.89 · 16 payments from 4 companies
- 2024$731.49 · 44 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $203.89 | 11 |
| Abbvie Inc. | $54.22 | 3 |
| Astellas Pharma US Inc | $17.37 | 1 |
| Lilly USA, LLC | $16.41 | 1 |
What the 2025 payments were for
- Food and Beverage$291.89 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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