NPPES file of Aug 9, 2026

James W. Denham, M.D.

Anatomic Pathology & Clinical Pathology Physician · Kingsport, TN

James W. Denham, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Kingsport, Tennessee, and NPI 1902088644, issued on Dec 5, 2007. Check the license (Tennessee MD0000039760, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1902088644
Name
James W. Denham
Credential
M.D.
Primary taxonomy
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License number
MD0000039760 TN
Self-reported in NPPES; status is on the state search
Practice location
2204 Pavilion Dr, Kingsport, TN 37660
Phone
(423) 392-6343
Enumerated
Dec 5, 2007
Record last updated
Mar 8, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120508000555); accepts Medicare assignment
Medical or professional school
Louisiana State University School Of Medicine In New Orleans, 2002
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2204 Pavilion Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anita Alwani, MDInternal Medicine Physician1538134895
  2. Lauren Daley, NPNurse Practitioner1265763668
  3. Marissa Davis, CRNACertified Registered Nurse Anesthetist1932180106
  4. James Gaither, CRNACertified Registered Nurse Anesthetist1518289206
  5. Rebecca Hamilton, NPNurse Practitioner1245226737
  6. Kelly McQueen, DOFamily Medicine Physician1306807979

Verify James W. Denham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license MD0000039760
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $326.16

20 payments; by number, the most common kind was food and beverage; the largest payer was Takeda Pharmaceuticals U.S.A., Inc. The 2,607 providers of this specialty with any payment received $3,565.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Denham$326.16
  2. Specialty average$3,565.00

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Gastrointestinal Associates OF Northeast Tennessee, PCJohnson City, TN
  2. Sullivan And PtrsKingsport, TN
  3. Tri-Cities Gastroenterology LLCKingsport, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James W. Denham among 475 anatomic pathology & clinical pathology physician records in Tennessee

James W. Denham, M.D. is one of 475 anatomic pathology & clinical pathology physician records with a practice address in Tennessee. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 53% of them.

  • NPI issued2007 · 53% of these records are older, 35% newer
  • In a Medicare fileYes · 63% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2002 · median 2004 among the 259 with a school on file
  • Record last updated2012 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anatomic Pathology & Clinical Pathology Physician providers in Tennessee

There are 475 anatomic pathology & clinical pathology physician records in Tennessee.

The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes

  1. Gary Adelson, M.D.Kingsport, TN 376601184600090
  2. Landon Colquitt, M.D.Kingsport, TN 376601629054556
  3. Peter Gale, M.D.Kingsport, TN 376601336125277
  4. Marcus Grimes, M.D.Kingsport, TN 376601265418107
  5. Christopher Heitz, MDKingsport, TN 376601275809733
  6. Kimberly Helms, M.D.Kingsport, TN 376601417933359
  7. Evan Kulbacki, MDKingsport, TN 376601659531408
  8. Kristin Pierce, M.D.Kingsport, TN 376601194938233

Common questions

What is James W. Denham, M.D.'s NPI number?

James W. Denham, M.D.'s National Provider Identifier (NPI) is 1902088644, issued on Dec 5, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James W. Denham, M.D. located?

The NPPES record lists a practice address at 2204 Pavilion Dr, Kingsport, TN, 37660. Phone: (423) 392-6343. Providers update this record themselves, so call before visiting.

How can I verify James W. Denham, M.D.'s license?

NPPES lists Tennessee license number MD0000039760, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is James W. Denham, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.