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JUSTIN THOMAS JAMES MD
NPI 1053998062
Psychiatry & Neurology - Neurology in Frisco, TX

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
5375 COIT RD STE 130, FRISCO, TX 75035(214) 619-1910(214) 619-1914 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Mar 25, 2021 (2 updates tracked since 2021).

About Justin Thomas James Md NPPES

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

JUSTIN THOMAS JAMES MD (NPI 1053998062) is an individual neurology provider in Frisco, Texas, licensed in Texas (V9022) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2021).

NPPES Registry Identity

NPI1053998062
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJUSTIN THOMAS JAMESCredential: MD
Location Address5375 COIT RD STE 130Frisco, TX 75035-4914
Mailing Address5375 Coit Rd Ste 130Frisco, TX 75035-4914 · (214) 619-1910 · Fax (214) 619-1914
Phone(214) 619-1910
Fax(214) 619-1914
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1053998062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · V9022
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5375 COIT RD STE 130, Frisco, TX 75035
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Thomas James 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 ID4082111224
PECOS Enrollment IDI20251006003947
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 Reassignment

Medicare enrollment records show Justin James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sheth, MD, P.A.
Same address
Neurology
5375 COIT RD STE 130
Frisco, TX 75035
  • Reassigned Medicare billing, Texas enrollment
  • 34 clinicians in this Medicare group
NPI 1235329517 (214) 619-1910

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

SAURABH GANESHKUMAR SHUKLA M.D.
Psychiatry & Neurology (Neurology)
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910
KRISTEN ELAINE KLARIN PA-C
Physician Assistant
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910
NISSI ANN VARGHESE NP
Nurse Practitioner (Family)
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910
DR. SHA'RAY SHAW MD
Psychiatry & Neurology (Neurology)
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (142) 619-1910
DR. BENJAMIN BANG V NGUYEN M.D.
Psychiatry & Neurology (Neurology)
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910
DR. ADEEBA S KHAN DO
Psychiatry & Neurology (Neurology)
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910
TAYLOR ANNE DILLARD
Physician Assistant
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910
SHETH, MD, P.A.
Psychiatry & Neurology (Neurology)
5375 COIT RD STE 130
FRISCO, TX 75035
Collin County (214) 619-1910

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 Justin James's NPI number?

The NPI number for Justin James is 1053998062. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Justin James located?

Justin James practices at 5375 Coit Rd Ste 130, Frisco, TX 75035. The listed phone number is (214) 619-1910.

What is Justin James's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Justin James enrolled in Medicare?

Yes. Justin James 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.

Which organization bills Medicare for Justin James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin James reassigns Medicare benefits to Sheth, MD, P.A. (Frisco, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin James accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Justin James 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.

When was this NPI record last updated?

The NPPES record for Justin James was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.