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Dr. James Duval Koonce, MD

(Dr. James Koonce, MD)

(No ratings)

Specializes in: Diagnostic Radiology and Neuroradiology

University of Tennessee Health Science Center College of Medicine

1301 Sunset Drive Suite 3
Johnson City, TN 37604

(423) 926-4966

Dr. James Duval Koonce, MD is a diagnostic radiologist in Johnson City, TN specializing in diagnostic radiology and neuroradiology. He graduated from University of Tennessee Health Science Center College of Medicine. Dr. James Duval Koonce, MD is affiliated with Ballad Health, BLUE RIDGE RADIOLOGY PC and MOUNTAIN EMPIRE RADIOLOGY INC PC.

Office Locations

1301 Sunset Drive Suite 3
Johnson City, TN 37604

(423) 926-4966

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3053 W State Street
Bristol, TN 37620

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Noteworthy Medicare Patient Procedures Performed by Dr. James Duval Koonce, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Affordability:

CT scan

In 2023, Dr. James Duval Koonce, MD had a list price for CT scan that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Tennessee. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

brain imaging

By Affordability:

lower extremity venous ultrasound

lower extremity venous duplex

thoracic spine CT scan

vascular studies

vascular ultrasound

venous duplex ultrasound

venous ultrasound

X-rays

In 2012, among providers in related specialties within Tennessee, Dr. James Duval Koonce, MD performed more brain imaging (neuroimaging) procedures for Medicare patients than 75% of them and he also had a list price for abdominal CT scan, chest CT scan, duplex ultrasound, joint X-ray, knee X-ray, lower extremity (leg) venous ultrasound, lower extremity venous duplex, pelvic CT scan, pelvis X-ray, spine MRI, spine X-ray, thoracic (chest) imaging, thoracic spine (mid-back) CT scan, vascular studies, vascular ultrasound, venous duplex ultrasound, venous ultrasound, and X-rays that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2012 were X-rays, thoracic (chest) imaging, CT scan and abdominal imaging.

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	215
brain imaging (neuroimaging)	210
CT scan	417
hip imaging	19
MRI (magnetic resonance imaging)	169
musculoskeletal imaging	31
neck imaging	11
pelvic imaging	147
spinal procedures	169
thoracic (chest) imaging	464
ultrasound (sonogram)	66
vascular procedures	16
X-rays	489

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2013 were X-rays, thoracic (chest) imaging, CT scan and brain imaging (neuroimaging).

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	470
brain imaging (neuroimaging)	568
CT scan	1103
hip imaging	50
MRI (magnetic resonance imaging)	203
musculoskeletal imaging	94
neck imaging	17
pelvic imaging	365
spinal procedures	284
thoracic (chest) imaging	1224
ultrasound (sonogram)	141
vascular procedures	66
X-rays	1390

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	1013
Female	1416

**Ethnicity**
Non-Hispanic White	2369
Black	31
Hispanic	16
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	706
From 75 to 84	646
85 and over	388
Less than 65	689

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2013

Hypertension	75
High Cholesterol	57
Stroke	11
Ischemic Heart Disease	53
Depression	42
Chronic Kidney Disease	41
Asthma	10
Osteoperosis	11
Atrial Fibrilation	17
Heart Failure	39
Chronic Obstructive Pulmonary Disease	38
Diabetes	42
Dementia	23
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2014 were X-rays, CT scan, thoracic (chest) imaging and brain imaging (neuroimaging).

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	533
brain imaging (neuroimaging)	808
CT scan	1357
hip imaging	51
MRI (magnetic resonance imaging)	280
musculoskeletal imaging	98
neck imaging	53
pelvic imaging	382
spinal procedures	340
thoracic (chest) imaging	1328
ultrasound (sonogram)	185
vascular procedures	74
X-rays	1530

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	1157
Female	1584

**Ethnicity**
Non-Hispanic White	2556
Black	142
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	874
From 75 to 84	727
85 and over	405
Less than 65	735

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2014

Hypertension	75
High Cholesterol	58
Stroke	14
Ischemic Heart Disease	55
Depression	44
Chronic Kidney Disease	43
Asthma	11
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	39
Chronic Obstructive Pulmonary Disease	37
Diabetes	41
Dementia	24
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2015 were X-rays, thoracic (chest) imaging, CT scan and brain imaging (neuroimaging).

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	408
brain imaging (neuroimaging)	604
CT scan	1034
gastrointestinal procedures	16
hip imaging	62
MRI (magnetic resonance imaging)	299
musculoskeletal imaging	184
neck imaging	47
pelvic imaging	302
spinal procedures	360
thoracic (chest) imaging	1374
ultrasound (sonogram)	125
vascular procedures	79
X-rays	1655

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	2182
Female	3204

**Ethnicity**
Non-Hispanic White	5216
Black	92
Hispanic	0
Asian	0
Other	42
Native American	0

**Age**
From 65 to 74	1814
From 75 to 84	1356
85 and over	890
Less than 65	1326

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2015

Hypertension	75
High Cholesterol	58
Stroke	13
Ischemic Heart Disease	56
Depression	45
Chronic Kidney Disease	44
Asthma	25
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	38
Chronic Obstructive Pulmonary Disease	36
Diabetes	42
Dementia	23
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2016 were X-rays, thoracic (chest) imaging, CT scan and brain imaging (neuroimaging).

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	336
brain imaging (neuroimaging)	654
CT scan	873
gastrointestinal procedures	13
MRI (magnetic resonance imaging)	421
musculoskeletal imaging	44
neck imaging	47
pelvic imaging	235
spinal procedures	393
thoracic (chest) imaging	1157
ultrasound (sonogram)	147
vascular procedures	84
X-rays	1321

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	1156
Female	1541

**Ethnicity**
Non-Hispanic White	2614
Black	36
Hispanic	0
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	943
From 75 to 84	710
85 and over	433
Less than 65	611

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2016

Hypertension	75
High Cholesterol	58
Stroke	13
Ischemic Heart Disease	56
Depression	41
Chronic Kidney Disease	46
Asthma	38
Osteoperosis	10
Atrial Fibrilation	18
Heart Failure	38
Chronic Obstructive Pulmonary Disease	36
Diabetes	43
Dementia	25
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2017 were X-rays, CT scan, thoracic (chest) imaging and brain imaging (neuroimaging).

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	204
brain imaging (neuroimaging)	741
CT scan	832
eye procedures	28
gastrointestinal procedures	13
MRI (magnetic resonance imaging)	606
musculoskeletal imaging	19
neck imaging	84
pelvic imaging	166
spinal procedures	461
thoracic (chest) imaging	780
ultrasound (sonogram)	55
vascular procedures	70
X-rays	888

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	988
Female	1343

**Ethnicity**
Non-Hispanic White	2258
Black	29
Hispanic	0
Asian	0
Other	22
Native American	0

**Age**
From 65 to 74	801
From 75 to 84	639
85 and over	339
Less than 65	552

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2017

Hypertension	75
High Cholesterol	55
Stroke	15
Ischemic Heart Disease	55
Depression	47
Chronic Kidney Disease	47
Asthma	11
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	35
Chronic Obstructive Pulmonary Disease	37
Diabetes	40
Dementia	24
Cancer	13

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2018 were CT scan, MRI (magnetic resonance imaging), spinal procedures and brain imaging (neuroimaging).

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	267
brain imaging (neuroimaging)	525
CT scan	771
eye procedures	30
gastrointestinal procedures	13
MRI (magnetic resonance imaging)	557
musculoskeletal imaging	33
neck imaging	57
pelvic imaging	204
spinal procedures	526
thoracic (chest) imaging	85
ultrasound (sonogram)	64
vascular procedures	34
X-rays	240

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	974
Female	1362

**Ethnicity**
Non-Hispanic White	2258
Black	35
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	834
From 75 to 84	685
85 and over	341
Less than 65	476

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2018

Hypertension	75
High Cholesterol	64
Stroke	13
Ischemic Heart Disease	54
Depression	47
Chronic Kidney Disease	48
Asthma	9
Osteoperosis	12
Atrial Fibrilation	18
Heart Failure	34
Chronic Obstructive Pulmonary Disease	34
Diabetes	41
Dementia	24
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2019 were CT scan, brain imaging (neuroimaging), MRI (magnetic resonance imaging) and spinal procedures.

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	157
brain imaging (neuroimaging)	534
CT scan	811
gastrointestinal procedures	12
MRI (magnetic resonance imaging)	364
musculoskeletal imaging	49
neck imaging	30
pelvic imaging	165
preventive care	22
spinal procedures	349
thoracic (chest) imaging	165
ultrasound (sonogram)	23
vascular procedures	23
X-rays	198

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	926
Female	1222

**Ethnicity**
Non-Hispanic White	2085
Black	26
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	754
From 75 to 84	652
85 and over	324
Less than 65	418

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2019

Hypertension	75
High Cholesterol	64
Stroke	14
Ischemic Heart Disease	58
Depression	43
Chronic Kidney Disease	50
Asthma	8
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	37
Chronic Obstructive Pulmonary Disease	35
Diabetes	40
Dementia	23
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2020 were CT scan, brain imaging (neuroimaging), MRI (magnetic resonance imaging) and abdominal imaging.

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	115
brain imaging (neuroimaging)	354
CT scan	471
MRI (magnetic resonance imaging)	140
musculoskeletal imaging	20
neck imaging	15
nuclear scan	14
pelvic imaging	113
spinal procedures	102
thoracic (chest) imaging	36
ultrasound (sonogram)	30
vascular procedures	15
X-rays	58

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	535
Female	712

**Ethnicity**
Non-Hispanic White	1204
Black	19
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	444
From 75 to 84	376
85 and over	206
Less than 65	221

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2020

Hypertension	75
High Cholesterol	69
Stroke	17
Ischemic Heart Disease	59
Depression	48
Chronic Kidney Disease	57
Asthma	9
Osteoperosis	12
Atrial Fibrilation	20
Heart Failure	41
Chronic Obstructive Pulmonary Disease	34
Diabetes	44
Dementia	28
Cancer	14

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2021 were CT scan, brain imaging (neuroimaging), MRI (magnetic resonance imaging) and abdominal imaging.

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	149
brain imaging (neuroimaging)	379
CT scan	521
MRI (magnetic resonance imaging)	174
musculoskeletal imaging	12
neck imaging	11
pelvic imaging	140
spinal procedures	108
thoracic (chest) imaging	61
ultrasound (sonogram)	26
vascular procedures	13
X-rays	28

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	617
Female	818

**Ethnicity**
Non-Hispanic White	1394
Black	12
Hispanic	0
Asian	0
Other	16
Native American	0

**Age**
From 65 to 74	542
From 75 to 84	445
85 and over	232
Less than 65	216

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2021

Hypertension	75
High Cholesterol	68
Stroke	16
Ischemic Heart Disease	55
Depression	40
Chronic Kidney Disease	53
Asthma	8
Osteoperosis	14
Atrial Fibrilation	20
Heart Failure	34
Chronic Obstructive Pulmonary Disease	31
Diabetes	39
Dementia	25
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN during 2022 were CT scan, brain imaging (neuroimaging), MRI (magnetic resonance imaging) and abdominal imaging.

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

abdominal imaging	200
brain imaging (neuroimaging)	566
CT scan	811
MRI (magnetic resonance imaging)	267
musculoskeletal imaging	21
neck imaging	14
pelvic imaging	187
spinal procedures	199
thoracic (chest) imaging	106
ultrasound (sonogram)	29
vascular procedures	17
X-rays	70

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	699
Female	970

**Ethnicity**
Non-Hispanic White	1613
Black	21
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	626
From 75 to 84	562
85 and over	262
Less than 65	219

Conditions of Medicare patients treated by Dr. James Duval Koonce, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	20
Ischemic Heart Disease	47
Depression	40
Chronic Kidney Disease	39
Asthma	11
Osteoperosis	18
Atrial Fibrilation	28
Heart Failure	32
Chronic Obstructive Pulmonary Disease	33
Diabetes	39
Dementia	20
Cancer	19

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. James Duval Koonce, MD for Medicare patients.

The highest averages for the top procedures that Dr. James Duval Koonce, MD treated as a diagnostic radiologist in Johnson City, TN were CT scan, X-rays, thoracic (chest) imaging and brain imaging (neuroimaging).

abdominal imaging	277
brain imaging (neuroimaging)	540
CT scan	818
eye procedures	29
gastrointestinal procedures	13
hip imaging	45
MRI (magnetic resonance imaging)	316
musculoskeletal imaging	55
neck imaging	35
nuclear scan	14
pelvic imaging	218
preventive care	22
spinal procedures	299
thoracic (chest) imaging	616
ultrasound (sonogram)	81
vascular procedures	44
X-rays	715

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. James Duval Koonce, MD.

**Gender**
Male	931
Female	1288

**Ethnicity**
Black / African American	40
Asian / Pacific Islander	0
Non-Hispanic White	2142
Hispanic	3
Native American / Alaskan Native	0
Other	15

**Age**
75 to 84	618
85 and over	347
Less than 65	496
65 to 74	758

Average of Total of Conditions of Medicare patients treated by Dr. James Duval Koonce, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. James Duval Koonce, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	68
High Cholesterol	56
Stroke	13
Ischemic Heart Disease	49
Depression	39
Chronic Kidney Disease	42
Asthma	12
Osteoporosis	11
Heart Failure	33
Chronic Obstructive Pulmonary Disease	31
Diabetes	37
Atrial Fibrillation	17
Cancer	12
Dementia	21

Education & Training

Dr. James Duval Koonce, MD graduated from University of Tennessee Health Science Center College of Medicine. He completed residency at Medical University of South Carolina Affiliated Hospitals. He is certified by the American Board Of Radiology Diagnostic Radiology Neuroradiology and has a state license in South Carolina.

Medical School: University of Tennessee Health Science Center College of Medicine

Residency: Medical University of South Carolina Affiliated Hospitals

Board Certification: American Board Of Radiology Diagnostic Radiology Neuroradiology

Licensed In: South Carolina

Affiliations & Hospitals

Dr. James Duval Koonce, MD is associated with these hospitals and organizations:

Ballad Health

BLUE RIDGE RADIOLOGY PC

MOUNTAIN EMPIRE RADIOLOGY INC PC

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General Payments

These charts describe general payments received by Dr. James Duval Koonce, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boehringer Ingelheim Pharmaceuticals, Inc.	$108 $108
Covidien LP	$99 Interventional Lung Solutions $99
Siemens Medical Solutions USA, Inc.	$44 MAGNETOM Altea $28	MAGNETOM Aera $16
Progenics Pharmaceuticals, Inc.	$40 PYLARIFY $40
Canon Medical Systems USA, Inc.	$22 $22
Other	$16 Interventional Lung Solutions $16

**Types of Payments**
Food and Beverage	$328

Biography

Dr. James Koonce's specialties are neuroradiology and diagnostic radiology. He practices in Johnson City, TN and Bristol, TN. Dr. Koonce attended the University of Tennessee Health Science Center College of Medicine and then went on to complete his residency at a hospital affiliated with Medical University of South Carolina. He is affiliated with Ballad Health.