Ray James, MD
NPI 1265436521 · Gastroenterology Physician · Rockwood, TN
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ray James, MD is a Gastroenterology Physician provider in Rockwood, TN (NPI 1265436521).
Provider details
- NPI number
- 1265436521
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 63830 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
124 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 57 | $222 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 40 | $68 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 27 | $87 |
Typical Medicare-allowed amounts for these services range $68–$222 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (5)
- 606 Black River Rd Ste 300Georgetown, SC 29440-3304Phone: (843) 652-8290Fax: (843) 546-8216
- 606 Black River Rd Ste 301Georgetown, SC 29440-3304Phone: (843) 527-3428Fax: (843) 546-8216
- 4040 Highway 17 Unit 302Murrells Inlet, SC 29576-5098Phone: (843) 652-8290Fax: (843) 652-8299
- 2200 Crow Ln Ste 302Myrtle Beach, SC 29577-1663Phone: (843) 848-5320Fax: (843) 652-8299
- 2200 Crow Ln Ste 102Myrtle Beach, SC 29577-1663Phone: (843) 848-5120Fax: (843) 848-5125
Registry dates
- Enumerated
- 2005-06-02
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Frequently asked questions
- What is Ray James's NPI number?
- Ray James's National Provider Identifier (NPI) is 1265436521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ray James's specialty?
- Ray James is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ray James located?
- Ray James's practice location on file with NPPES is 512 Pointe Vista Dr, Rockwood, TN 37854-4791.
- What is Ray James's phone number?
- The practice phone number listed in the NPPES registry for Ray James is (757) 784-4609.
- Does Ray James accept Medicare?
- Ray James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ray James's NPI active?
- Yes — Ray James's NPI (1265436521) is active in the NPPES registry as of the last update on 2026-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.