Active NPI 1649251521 Individual Practitioner Male Practitioner

Dr. James Denton , MD

Surgery • Abingdon, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Denton, MD is a certified Surgery practicing in Abingdon, VA. With approximately 46 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1980, Dr. Denton delivers high-quality medical care to the local community at 16000 JOHNSTON MEMORIAL DR.

Dr. Denton is affiliated with Uva Community Health Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16000 Johnston Memorial Dr

Abingdon, VA 242117664

Telephone 2762581777

Associated Practice Facility / Clinic

🏢 Johnston Memorial Hospital, Inc Facility NPI 1104812684

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Abingdon, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +22.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Abingdon, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Denton (46 Years) 46 Yrs

Abingdon Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$84.94	$42.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$308.50	$124.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	23	$99.92	$49.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$349.00	$129.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	17	$110.06	$38.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	20	$108.85	$34.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$200.18	$65.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	65	65	$1520.00	$159.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	37	$105.65	$40.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$277.76	$77.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	41	$856.00	$96.70
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$186.68	$51.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$111.83	$26.35
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$1036.00	$193.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	20	$196.29	$73.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1294.00	$265.17
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$961.00	$173.02
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$304.50	$104.11
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$194.00	$51.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	49	$100.98	$39.61
45380 Biopsy of large bowel using an endoscope	75	75	$1460.64	$161.24
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$179.38	$51.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	45	$856.00	$103.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$266.62	$75.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$106.06	$25.68
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$1036.00	$188.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$1294.00	$264.98
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$185.30	$51.02
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$288.72	$101.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$396.71	$129.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$186.75	$73.18
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$961.00	$175.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$258.80	$79.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$961.00	$192.29
49505 Repair of groin hernia (5 years or older)	12	12	$1320.00	$533.63
99283 Emergency department visit with low level of medical decision making	12	12	$158.08	$62.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	53	$100.55	$38.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	38	$104.11	$25.33
45380 Biopsy of large bowel using an endoscope	48	48	$1149.00	$155.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$856.00	$101.91
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$174.30	$50.40
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$177.91	$50.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$1036.00	$189.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	20	$184.67	$72.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$262.18	$76.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1294.00	$261.84
99283 Emergency department visit with low level of medical decision making	18	18	$156.00	$61.46
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$288.14	$100.63
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$961.00	$189.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$252.00	$75.18
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$1136.00	$171.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	54	$99.35	$38.78
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$171.00	$50.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$848.00	$107.29
45380 Biopsy of large bowel using an endoscope	35	35	$1149.00	$178.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	25	$184.15	$71.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$103.00	$25.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$256.48	$75.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	17	$103.00	$43.02
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$171.00	$72.12
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$725.00	$108.03
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$178.56	$50.02
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$1136.00	$201.45
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$288.00	$100.05
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$961.00	$189.38
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1294.00	$247.57
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$177.29	$73.73
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$961.00	$188.21
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$992.25	$187.60

Medical Specialties & State Licenses

CMS Verified: 2024-08-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101039289

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

007310030 (VA)

Medicaid State Provider ID

010384231 (VA)

Commercial Insurance / Payer ID Anthem

268560

Commercial Insurance / Payer ID Umwa

1455522

Commercial Insurance / Payer ID Anthem

084235 (VA)

Commercial Insurance / Payer ID Group Npi

1306944350

Commercial Insurance / Payer ID Medicare Group

C09949

Hospital & Practice Group Affiliations

Uva Community Health Medical Group Llc

541 Sunset Ln, Culpeper, VA 227013979

Phone: 5403213120

Secondary Practice Locations

541 Sunset Ln, Ste 103

Culpeper, VA 227013979

Phone: 5408294440

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. David Smith , MD

Surgery

NPI 1033190905

Doctor of Medicine (M.D.)

Mckenzie Burke , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1154041853

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. William Cummins , MD

Surgery

NPI 1265483184

Doctor of Medicine (M.D.)

Kimberly Boyd , ARPN, FNP-C

Nurse Practitioner - Family

NPI 1356972954

ARPN, Family Nurse Practitioner (Certified)

Christy Herndon , NP

Nurse Practitioner - Family

NPI 1366820508

Nurse Practitioner

Scott Hunter , PA-C

Physician Assistant - Surgical

NPI 1376577494

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 16, 2024

Registered at 16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 242117664 (Tel: 2762581777)

📍

Updated Business Mailing Address August 16, 2024

Registered at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 376042192 (Tel: 4233026565)

✅

NPI Profile Active March 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2011

Registered at 541 SUNSET LN, STE 103, CULPEPER, VA 227013979 (Tel: 5408252600)

📍

Updated Business Mailing Address March 01, 2011

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

👤

Provider Name / Credentials Updated March 01, 2011

Recorded as JAMES DENTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2011

Surgery (License #0101039289 in VA)

🟢

Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649251521

Entity Type:

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

Enumeration Date: November 08, 2005

Last Update: August 16, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1021 W Oakland Ave Ste 310

Johnson City, TN 376042192

Phone: 4233026565

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.