JAMES WHITESIDE JR. RICHARDSON (M.D.) – Surgery Physician, NPI 1669453098
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
176 VASCULAR SURGERY in TN
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Provider Addresses for JAMES WHITESIDE JR. RICHARDSON (M.D.)
Building A, 1222, Trotwood Avenue, Rolling Fields, Columbia, Maury County, Tennessee, 38401, United States
SUITE 211
COLUMBIA, TN 384016436
Phone: (931) 380-3033
Fax: (931) 388-3401
Type: Mailing
1222 Trotwood Ave
Suite 211
Columbia, TN 384016436
Phone: (931) 380-3033
Fax: (931) 388-3401
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 322-6842
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372326436
Phone: (615) 322-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $187.
Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.
Last reported payment date: 2023-06-01 • Largest payer in this snapshot: Penumbra, Inc. ($109).
Total Amount
$187
General + Research + Ownership
Payments
12
Total payment records
General Amount
$187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101005000405 | I | Vascular Surgery | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 130 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 161 | 123 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 150 | 147 | $0 |
| 93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 48 | 47 | $0 |
| 93926 | Ultrasound of one leg arteries or artery grafts | 39 | 37 | $0 |
Insurance plans in this area (ZIP 38401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | TN | 11042 | Removal of skin and tissue first 20 sq cm or less | 83 | 47 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Pediatric Medicine | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology, Interventional Pain Management | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| N E U R O L O G Y | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Internal Medicine | TN |
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