JAMES CROSS MD
NPI 1013950625
Surgery in Plano, TX

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1600 COIT RD STE 301, PLANO, TX 75075(706) 863-9595(706) 868-8375 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2025, Apr 29, 2022, Mar 19, 2021 and 2 more (5 updates tracked since 2019).

About James Cross Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES CROSS MD (NPI 1013950625) is an individual surgery provider in Plano, Texas, licensed in Texas (J6096) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1013950625
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES CROSSCredential: MD
Location Address1600 COIT RD STE 301Plano, TX 75075-6172
Mailing AddressPo Box 12187Augusta, GA 30914-2187 · (706) 863-9595 · Fax (706) 868-8375
Fax(706) 868-8375
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1013950625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in TX · J6096 Licensed in OK · 37473
Definition
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.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 37473 (OK), J6096 (TX)
1600 COIT RD STE 301, Plano, TX 75075

Secondary Practice Location 1

Location 13901 W 15th StPlano, TX 75075-7738 · Phone (706) 863-9595 · Fax (706) 868-8375

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Cross Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406981927
PECOS Enrollment IDI20100322000849
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1600 COIT RD STE 301
PLANO, TX 75075
Surgery
1600 COIT RD STE 301
PLANO, TX 75075
Nurse Practitioner (Family)
1600 COIT RD STE 301
PLANO, TX 75075
Nurse Practitioner (Family)
1600 COIT RD STE 301
PLANO, TX 75075
Nurse Practitioner
1600 COIT RD STE 301
PLANO, TX 75075
Nurse Anesthetist, Certified Registered
1600 COIT RD STE 301
PLANO, TX 75075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Cross's NPI number?

The NPI number for James Cross is 1013950625. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is James Cross located?

James Cross practices at 1600 Coit Rd Ste 301, Plano, TX 75075. The listed phone number is (706) 863-9595.

What is James Cross's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Cross enrolled in Medicare?

Yes. James Cross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Cross accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list James Cross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Cross affiliated with any hospitals?

According to CMS data, James Cross is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for James Cross was last updated on July 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.