Prashant J. James, M.D.
NPI 1609250562ActiveIndividual· Internal Medicine, Sleep Medicine· Knoxville, TN
Internal Medicine, Sleep Medicine (M.D.) with University Health System, Inc. and 1 other group, practicing in Knoxville, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $246,354 for 408 claims, against $41,618 paid for services in 2024. Eli Lilly and Company was the largest of 10 companies reporting payments in 2025, $5,944 in all, mostly consulting fees. Lists University Health System, Inc as a hospital affiliation.
Overview
| NPI | 1609250562 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2015 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Sleep Medicine Primary | 207RS0012X | 66304 | 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 - Sleep Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 504 across 9 procedure codes |
| Paid by Medicare | $41,618 |
Part D prescriptions in 2024
| Prescriptions (claims) | 408 · 747 30-day fills |
|---|---|
| Patients | 102 |
| Total drug cost | $246,354 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Sleep Medicine |
| Telehealth | Offers telehealth |
Medical groups
- University Health System, Inc.Knoxville, TN · 522 clinicians
- Dream Care Tn PLLCKnoxville, TN · 2 clinicians
Hospital affiliation
- University Health System, IncKnoxville, TN
Industry payments (Open Payments)
- 2025$5,944 · 75 payments from 10 companies
- 2024$1,360 · 51 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Eli Lilly and Company | $4,025 | 2 |
| Avadel Cns Pharmaceuticals, LLC | $659.22 | 13 |
| Jazz Pharmaceuticals Inc. | $441.14 | 13 |
| Axsome Therapeutics, Inc. | $390.69 | 15 |
| Harmony Biosciences LLC | $163.32 | 12 |
What the 2025 payments were for
- Consulting Fee$4,375 · 4 payments
- Food and Beverage$1,461 · 69 payments
- Education$108.69 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Sleep Medicine providers in Knoxville
- 1659388197
- 1225615933
- 1053838714
- 1275736324
- 1417650946
- 1932245743
All Internal Medicine, Sleep Medicine providers in Tennessee