Deactivated NPI 1467538652 Deactivated / Inactive NPI Male Practitioner

Dr. James C Wall , MD

General Practice • Smithville, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Wall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2006

NPI Deactivation Date September 08, 2021

Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. James Wall, MD was a registered General Practice practicing in Smithville, TN. Throughout an active medical career spanning 15 years, Dr. Wall provided care at the practice location at 518C WEST MAIN ST until profile deactivation on 2021-09-08.

Historical Medicare Part B clinical services included established patient outpatient office visit, telephone medical discussion with physician, stool analysis for blood to screen for colon tumors. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

518c West Main St

Smithville, TN 37166

Telephone 6155974005

Fax 6155976667

Associated Practice Facility / Clinic

🏢 Dekalb Medical Clinic Llp Facility NPI 1700552890

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Smithville, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 34.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Smithville, TN (202 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

2.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	87	$125.00	$122.31
99443 Telephone medical discussion with physician, 21-30 minutes	39	28	$122.44	$120.05
82270 Stool analysis for blood to screen for colon tumors	28	28	$10.00	$4.38
99442 Telephone medical discussion with physician, 11-20 minutes	23	21	$75.00	$75.00
99213 Established patient office or other outpatient visit, typically 15 minutes	22	15	$75.00	$75.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	112	$125.00	$102.76
99213 Established patient office or other outpatient visit, typically 15 minutes	65	40	$75.00	$70.42
81002 Urinalysis, manual test	42	22	$10.00	$3.46
99443 Telephone medical discussion with physician, 21-30 minutes	33	28	$125.00	$103.09
82270 Stool analysis for blood to screen for colon tumors	31	31	$10.00	$4.35
99442 Telephone medical discussion with physician, 11-20 minutes	27	22	$75.00	$70.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$84.38	$50.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	412	136	$125.00	$99.07
99213 Established patient office or other outpatient visit, typically 15 minutes	406	119	$75.12	$67.57
82270 Stool analysis for blood to screen for colon tumors	54	54	$10.00	$4.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$99.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	579	130	$75.00	$64.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	131	$125.00	$95.30
81002 Urinalysis, manual test	47	18	$10.00	$3.41
82270 Stool analysis for blood to screen for colon tumors	43	43	$10.00	$4.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	13	$65.00	$36.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	777	149	$75.00	$63.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	110	$125.00	$94.42
36415 Insertion of needle into vein for collection of blood sample	111	74	$14.55	$2.94
81002 Urinalysis, manual test	95	37	$10.00	$3.43
82270 Stool analysis for blood to screen for colon tumors	55	55	$10.00	$4.32
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	13	$65.00	$36.02
G0008 Administration of influenza virus vaccine	23	23	$25.00	$23.26
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	23	23	$24.57	$17.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	14	$80.00	$46.87

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TN MD0000013548

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Tonya Jennings , FNP

Nurse Practitioner - Family

NPI 1255654083

Family Nurse Practitioner

Johnny Ball , NP

Family Medicine

NPI 1902532930

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated September 08, 2021

Record deactivated on September 08, 2021

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 518C WEST MAIN ST, SMITHVILLE, TN 37166 (Tel: 6155974005)

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Updated Business Mailing Address July 08, 2007

Registered at 518C WEST MAIN ST, SMITHVILLE, TN 37166 (Tel: 6155974005)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES WALL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #MD0000013548 in TN)

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Initial NPI Registration & Enumeration October 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1467538652

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2006

Last Update: July 08, 2007

Deactivation Date: September 08, 2021

Update or Correct Profile

Mailing Address

518c West Main St

Smithville, TN 37166

Phone: 6155974005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.