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James M Shipley

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NPI Number Detailed Information

Provider Information:

Name: James M Shipley
Gender: M
Provider License Number If Given: 35197

NPI Information:

NPI: 1912957937
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/11/2006

Last Update Date: 2/9/2017

Reputation Report:

Provider Business Mailing Address:

Address: 1497 W ELK AVE SUITE 21
Elizabethton, TN 37643
Phone Number: 4235427420
Fax Number: 4235427425

Provider Business Practice Location Address:

Address: 1497 W ELK AVE SUITE 21
Elizabethton, TN 37643
Phone Number: 4235427420
Fax Number: 4235427425

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: TN

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About James M Shipley

James M Shipley ( JAMES M SHIPLEY ) is Family Family Medicine Physician in Elizabethton, TN. The NPI Number for James M Shipley is 1912957937.
The current location address for James M Shipley is 1497 W ELK AVE SUITE 21 Elizabethton, TN 37643 and the contact number is 4235427420 and fax number is 4235427425. The mailing address for James M Shipley is 1497 W ELK AVE SUITE 21 Elizabethton, TN 37643- 4235427420 (mailing address contact number - 4235427420).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for James M Shipley ?


Answer: The NPI Number for James M Shipley is 1912957937

Where is James M Shipley located?


Answer: James M Shipley is located at 1497 W ELK AVE SUITE 21 Elizabethton, TN 37643.

What is the specialty for James M Shipley ?


Answer: The Specialty of James M Shipley is Family Family Medicine Physician.

Are there any online reviews for James M Shipley ?


Answer: Yes! Check It Now.

Are there any other health care providers in Elizabethton, TN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by James M Shipley

Number of HCPCS 54
Number of Medicare Beneficiaries 197
Number of Services 1555
Total Submitted Charge Amount 123614
Total Medicare Allowed Amount 64751.8
Total Medicare Payment Amount 46031.17
Total Medicare Standardized Payment Amount 48534.95
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 15
Number of Medicare Beneficiaries With Drug Services 71
Number of Drug Services 837
Total Drug Submitted Charge Amount 6683
Total Drug Medicare Allowed Amount 4618.8
Total Drug Medicare Payment Amount 4391.44
Total Drug Medicare Standardized Payment Amount 4304.2
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 39
Number of Medicare Beneficiaries With Medical 197
Number of Medical Services 718
Total Medical Submitted Charge Amount 116931
Total Medical Medicare Allowed Amount 60133
Total Medical Medicare Payment Amount 41639.73
Total Medical Medicare Standardized Payment Amount 44230.75
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65 54
Number of Beneficiaries Age 65 to 74 83
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 96
Number of Male Beneficiaries 101
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 47
Number of Beneficiaries With Medicare Only Entitlement 150
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.11
Percent (%) of Beneficiaries Identified With Depression 0.26
Percent (%) of Beneficiaries Identified With Diabetes 0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.36
Percent (%) of Beneficiaries Identified With Hypertension 0.6
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.42
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1811

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 13560
Number of Standardized 30-Day Fills 25243.5
Aggregate Cost Paid for All Claims 985467.87
Number of Day's Supply for All Claims 725496
Number of Medicare Beneficiaries 529
Number of Claims, Including Refills, for Beneficiaries Age 65+ 9005
Including Refills, for Beneficiaries Age 65+ 17995.8
Beneficiaries Age 65+ 650075.59
Number of Day's Supply for All Claims for Beneficaries Age 65+ 518619
Number of Medicare Beneficiaries Age 65+ 389
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1530
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 11952
Aggregate Cost Paid for Generic Drugs 271865.06
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 78
Aggregate Cost Paid for Other Drugs 4430.32
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 11152
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 822506
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 2408
Aggregate Cost Paid for Claims Filled by 162961.87
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 7165
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 640032.59
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 6395
by Low-Income Subsidy 345435.28
Total Claims of Opioid Drugs, Including 1615
Aggregate Cost Paid for Opioid Drugs 98690.51
Opioid Claims 179
Opioid_Tot_Clms divided by the Tot_Clms 11.910029499
Total Claims of Long-Acting Opioid Drugs 136
Aggregate Cost Paid for Long-Acting Opioid 50690.79
Number of Day's Supply of All Long-Acting 4050
Long-Acting Opioid Claims 14
Opioid_LA_Tot_Clms divided by the 8.4210526316
Total Claims of Antibiotic Drugs, Including 440
Aggregate Cost Paid for Antibiotic Drugs 6863.1
Antibiotic Claims 190
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 50
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1519.01
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 11
Average Age of Beneficiaries 68.735349716
Number of Beneficiaries Age Less Than 65 140
Number of Beneficiaries Age 65 to 74 242
Number of Beneficiaries Age 75 to 84 119
Number of Female Beneficiaries 267
Number of Male Beneficiaries 262
Number of Non-Hispanic White 521
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 339
Average Hierarchical Condition Category 1.2611214889

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James M Shipley
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