NPPES file of Aug 9, 2026

James Martin McLoughlin, M.D.

Surgical Oncology Physician · Knoxville, TN

James Martin McLoughlin, M.D. is a surgical oncology physician with a practice address in Knoxville, Tennessee, and NPI 1376745653, issued on May 31, 2007. Check the license 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
1376745653
Name
James Martin McLoughlin
Credential
M.D.
Primary taxonomy
Surgical Oncology Physician 2086X0206X
License number
059478 GA
Self-reported in NPPES; status is on the state search
Practice location
1934 Alcoa Hwy, Knoxville, TN 37920
Phone
(865) 544-9218
Enumerated
May 31, 2007
Record last updated
Apr 4, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(865) 305-8262
Medicare enrollment
Enrolled (PECOS I20120307000645); accepts Medicare assignment
Medical or professional school
Rush Medical College Of Rush University, 2000
Telehealth
Offers telehealth (CMS)
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 1934 Alcoa Hwy

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

  1. Sara Andies, NPAdult Health Nurse Practitioner1851659148
  2. Amanda Berry, CNPFamily Nurse Practitioner1235390238
  3. Amanda Blevins, APRN, FNP-BCFamily Nurse Practitioner1497203145
  4. Vicki Cannington, APRNCritical Care Medicine Nurse Practitioner1588807523
  5. Landon Johnson, PHARMDPharmacist1154015501
  6. Heather Kaparos, PASurgical Physician Assistant1699921338

Verify James Martin McLoughlin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical ExaminersCheck 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

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21% more Medicare Part D claims than the average surgical oncology physician in 2024

105 Medicare Part D claims for 43 beneficiaries, against an average of 87 among the 1,237 providers of this specialty who prescribed in Part D. Brand-name drugs were 44% of claims. 20 claims were for opioids.

  1. James McLoughlin105
  2. Specialty average87

Most prescribed

  1. Creon31 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 95.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. 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 score85.3
  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; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $700.98

23 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 1,132 providers of this specialty with any payment received $4,224.74 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James McLoughlin$700.98
  2. Specialty average$4,224.74

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

Bills Medicare through one group practice

  1. University Health System, Inc.Knoxville, TN

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

James Martin McLoughlin among 62 surgical oncology physician records in Tennessee

James Martin McLoughlin, M.D. is one of 62 surgical oncology physician records with a practice address in Tennessee. 77% 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 34% of them.

  • NPI issued2007 · 34% of these records are older, 50% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2000 · median 2009 among the 46 with a school on file
  • Record last updated2012 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086X0206X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgical Oncology Physician providers in Tennessee

There are 62 surgical oncology physician records in Tennessee.

The 8 surgical oncology physician records with the nearest ZIP codes

  1. Laura Enomoto, MDKnoxville, TN 379201023338688
  2. Keith Gray, M.D.Knoxville, TN 379201235237843
  3. James Lewis, M.D.Knoxville, TN 379201053510586
  4. Jillian Lloyd, MDKnoxville, TN 379201699919886
  5. Ryan Schmocker, MD, MSKnoxville, TN 379201457639478
  6. Paul Dudrick, MDKnoxville, TN 379161710070479
  7. Troy Kimsey, M.D.Knoxville, TN 379161295908150
  8. Grey Leonard, M.D.Knoxville, TN 379161710374558

Common questions

What is James Martin McLoughlin, M.D.'s NPI number?

James Martin McLoughlin, M.D.'s National Provider Identifier (NPI) is 1376745653, issued on May 31, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James Martin McLoughlin, M.D. located?

The NPPES record lists a practice address at 1934 Alcoa Hwy, Knoxville, TN, 37920. Phone: (865) 544-9218. Providers update this record themselves, so call before visiting.

How can I verify James Martin McLoughlin, M.D.'s license?

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.

How much does James Martin McLoughlin, M.D. prescribe under Medicare Part D?

In 2024, James Martin McLoughlin, M.D. had 105 Medicare Part D claims for 43 beneficiaries; the average among surgical oncology physician prescribers was 87. Part D covers Medicare prescriptions only.

What is James Martin McLoughlin, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.7 of 100. 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.