DR. JAMES A LIVELY MD
NPI 1043284938
Family Medicine in Tyler, TX

Q: What is James Lively's NPI number?

The NPI number for James Lively is 1043284938. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is James Lively's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Lively was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2006PECOS Enrolled

3802 MANHATTON DR, TYLER, TX 75701(903) 509-8888 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. James A Lively Md NPPES

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

DR. JAMES A LIVELY MD (NPI 1043284938) is an individual family medicine provider in Tyler, Texas, licensed in Texas (K5606) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043284938

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES A LIVELYCredential: MD

Location Address3802 MANHATTON DRTyler, TX 75701-9451

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450

Phone(903) 509-8888

Sole ProprietorNo

Enumeration DateFebruary 15, 2006

Last NPPES UpdateOctober 13, 2014

✔ NPI 1043284938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K5606

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3802 MANHATTON DR, Tyler, TX 75701

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Other Identifiers 4

Medicare PIN080155466TX

Medicare UPING84792

Medicare ID-Type Unspecified8211J5TX

Medicaid117659605TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James A Lively Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show James Lively reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mother Frances Hospital Regional Health Care Center

2.6 mi

General Acute Care Hospital

800 E DAWSON ST
Tyler, TX 75701

Reassigned Medicare billing, Texas enrollment
547 clinicians in this Medicare group

NPI 1679578439 (903) 593-8441

Christus Trinity Clinic Texas

2.8 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Mother Frances Hospital Jacksonville

26 mi

Critical Access

2026 S JACKSON ST
Jacksonville, TX 75766

Reassigned Medicare billing, Texas enrollment
409 clinicians in this Medicare group

NPI 1952306672 (903) 541-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

3,642 services485 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

384 services366 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

205 services195 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

144 services137 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers20 claims71 services$7.09 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers11 claims23 services$1.23 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

1 supplier12 claims60 services$6.94 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers24 claims24 services$59.12 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

2 suppliers15 claims15 services$67.68 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers20 claims20 services$66.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

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