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DR. JAMES EDWARD FRANCO DDS, MD
NPI 1063480077
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
4499 MEDICAL DR, SUITE 190, SAN ANTONIO, TX 78229(210) 614-3915(210) 614-3918 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Edward Franco Dds, Md NPPES

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

DR. JAMES EDWARD FRANCO DDS, MD (NPI 1063480077) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (J4124) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1985).

NPPES Registry Identity

NPI1063480077
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JAMES EDWARD FRANCOCredential: DDS, MD
Location Address4499 MEDICAL DR, SUITE 190San Antonio, TX 78229-3735
Mailing Address4499 Medical Dr, Suite 190San Antonio, TX 78229-3735 · (210) 614-3915 · Fax (210) 614-3918
Phone(210) 614-3915
Fax(210) 614-3918
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1985
Enumeration DateMarch 8, 2006
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1063480077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in TX · J4124✔ Licensed in TX · D14502
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License J4124 (TX), D14502 (TX)
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License J4124 (TX), D14502 (TX)
Also ListedDentist · Oral and Maxillofacial RadiologyTaxonomy 1223X0008X · License J4124 (TX), D14502 (TX)
4499 MEDICAL DR, San Antonio, TX 78229
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Other Identifiers 3

Medicaid079997501TX
Medicaid079997502TX
Medicare UPINT78990TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. James Edward Franco Dds, 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 ID5092818229
PECOS Enrollment IDI20110301001075
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.

Areas of Expertise CMS Part B claims 6

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.

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
58 services20 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
32 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services20 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
21 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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 20

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

DR. ROBERT P THOMAS M.D.
Surgery (Pediatric Surgery)
4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229
Bexar County (210) 615-8757
CHARLES T GAY M.D.
Pediatrics
4499 MEDICAL DR, STE 396
SAN ANTONIO, TX 78229
Bexar County (210) 614-3737
KRISTIE YOUNG BORGMAN MD
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR, #289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
DR. FRANK M ROBERTSON M.D.
Surgery (Pediatric Surgery)
4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229
Bexar County (210) 615-8757
CECILIA ALEJANDRA GARCIA DE MITCHELL MD
Plastic Surgery
4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229
Bexar County (210) 615-0068
DR. VINCENT AUGUST CALDAROLA M.D.
Specialist
4499 MEDICAL DR, SUITE 250
SAN ANTONIO, TX 78229
Bexar County (210) 614-3565
CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER
Pediatrics (Pediatric Hematology-Oncology)
4499 MEDICAL DR, SUITE 260
SAN ANTONIO, TX 78229
Bexar County (210) 616-0800
OLIVIA A FUNES PA-C
Physician Assistant
4499 MEDICAL DR, SUITE 151A
SAN ANTONIO, TX 78229
Bexar County (210) 593-4392

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 Franco's NPI number?

The NPI number for James Franco is 1063480077. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is James Franco located?

James Franco practices at 4499 Medical Dr Suite 190, San Antonio, TX 78229. The listed phone number is (210) 614-3915.

What is James Franco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is James Franco enrolled in Medicare?

Yes. James Franco 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 Franco 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 15 other insurers list James Franco 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 James Franco was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.