Prashant J. James, M.D.
Sleep Medicine (Internal Medicine) Physician · Knoxville, TN
Prashant J. James, M.D. is a sleep medicine (internal medicine) physician with a practice address in Knoxville, Tennessee, and NPI 1609250562, issued on Jul 10, 2015. Check the license (Tennessee 66304, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Prashant J. James
- Credential
- M.D.
- Primary taxonomy
- Sleep Medicine (Internal Medicine) Physician 207RS0012X
- License number
- 66304 TN
Self-reported in NPPES; status is on the state search - Practice location
- 1346 Dowell Springs Blvd, Knoxville, TN 37909
- Phone
- (865) 234-4311
- Enumerated
- Jul 10, 2015
- Record last updated
- Jul 24, 2026
- Fax
- (865) 351-0035
- Medicare enrollment
- Enrolled (PECOS I20220831000267); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest sleep medicine (internal medicine) physician records → All 27 in Tennessee → Look up another NPI →
Also registered at 1346 Dowell Springs Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sangeetha Kodoth, MDAllergy & Immunology Physician1063465573
Verify Prashant J. James in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 66304Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
30% fewer Medicare Part D claims than the average sleep medicine (internal medicine) physician in 2024
408 Medicare Part D claims for 102 beneficiaries, against an average of 585 among the 852 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Zolpidem Tartrate53 claims
- Gabapentin52 claims
- Doxepin Hcl51 claims
- Trazodone Hcl51 claims
- Modafinil40 claims
- Mirtazapine30 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,223.40
49 payments; by number, the most common kind was food and beverage; the largest payer was Inspire Medical Systems, Inc. The 664 providers of this specialty with any payment received $3,724.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- 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).
Prashant J. James among 27 sleep medicine (internal medicine) physician records in Tennessee
Prashant J. James, M.D. is one of 27 sleep medicine (internal medicine) physician records with a practice address in Tennessee. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 67% of them.
- NPI issued2015 · 67% of these records are older, 26% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2011 · median 1999 among the 19 with a school on file
- Record last updated2026 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RS0012X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sleep Medicine (Internal Medicine) Physician providers in Tennessee
There are 27 sleep medicine (internal medicine) physician records in Tennessee.
All 27 in Tennessee → Every provider in Knoxville → Sleep Medicine (Internal Medicine) Physician nationwide →
The 8 sleep medicine (internal medicine) physician records with the nearest ZIP codes
- Matthew Mascioli, DOKnoxville, TN 379091225615933
- Bert Hampton, M.D.Knoxville, TN 379161932245743
- Kevin Martinolich, MDKnoxville, TN 379201659388197
- Cherridan Rambally, M.D.Oak Ridge, TN 378301619015575
- Ariel Long, D.O.Memphis, TN 381051548657281
- John McGehee, M.D.Memphis, TN 381201265470462
- James Andrews, MDMemphis, TN 381571255312336
- William Mariencheck, MDMemphis, TN 381571467432203
Common questions
What is Prashant J. James, M.D.'s NPI number?
Prashant J. James, M.D.'s National Provider Identifier (NPI) is 1609250562, issued on Jul 10, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Prashant J. James, M.D. located?
The NPPES record lists a practice address at 1346 Dowell Springs Blvd, Knoxville, TN, 37909. Phone: (865) 234-4311. Providers update this record themselves, so call before visiting.
How can I verify Prashant J. James, M.D.'s license?
NPPES lists Tennessee license number 66304, 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.
How much does Prashant J. James, M.D. prescribe under Medicare Part D?
In 2024, Prashant J. James, M.D. had 408 Medicare Part D claims for 102 beneficiaries; the average among sleep medicine (internal medicine) physician prescribers was 585. Part D covers Medicare prescriptions only.
What is Prashant J. James, 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.