James M. Shipley, MD
NPI 1912957937ActiveIndividual· Family Medicine· Elizabethton, TN
Family Medicine (MD) in Elizabethton, Tennessee, trained at East Tennessee State University Quillen College of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $56,387 for 1,047 claims, against $1,744 paid for services in 2024.
Overview
| NPI | 1912957937 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Feb 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35197 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 22 |
|---|---|
| Services billed | 110 across 13 procedure codes |
| Paid by Medicare | $1,744 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,047 · 2,012 30-day fills |
|---|---|
| Patients | 322 |
| Total drug cost | $56,387 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | East Tennessee State University Quillen College of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Family Practice |
Medical group
- Wellmont Medical Associates IncKingsport, TN · 433 clinicians
Other facilities
- GentivaHospice · Nashville, TN
- Center on Aging and HealthNursing home · Erwin, TN
- Christian Care Center of Unicoi CountyNursing home · Erwin, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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