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DR. JAMES BRANT BUCHINGER MD
NPI 1063567634
Obstetrics & Gynecology in Tyler, TX

Active since January 24, 2007PECOS Enrolled
520 DOUGLAS BLVD, TYLER, TX 75702(903) 597-2002(903) 525-2778 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2017, Feb 10, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About Dr. James Brant Buchinger Md NPPES

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

DR. JAMES BRANT BUCHINGER MD (NPI 1063567634) is an individual obstetrics & gynecology provider in Tyler, Texas, licensed in Texas (Q4370) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063567634
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES BRANT BUCHINGERCredential: MD
Location Address520 DOUGLAS BLVDTyler, TX 75702-8307
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Phone(903) 597-2002
Fax(903) 525-2778
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 12, 20173 updates tracked since enumeration
✔ NPI 1063567634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TX · Q4370✔ Licensed in OK · 23577
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
520 DOUGLAS BLVD, Tyler, TX 75702
Open in Google Maps ↗

Other Identifiers 5

Medicaid3654691001TX
Other8GS833TX · Bcbs
Medicaid200027130AOK
OtherP01762475TX · Rail Road Medicare
Medicare PINOKA103446OK

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Brant Buchinger 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

4

Medicare enrollment records show James Buchinger reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christus Trinity Clinic Texas
Same address
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
Etmc Physician Group Inc.
0.4 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611
University Of Texas Health Science Center At Tyler
4.8 mi
Nurse Anesthetist, Certified Registered
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
NPI 1992868186 (903) 877-7777
Obhg Texas Holdings, P.A.
195 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289

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

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.

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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$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.

ZAINAB AISHA SHAFI
Internal Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-6401
MARK EDWARD VIG MD
Internal Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
ANTOINETTE LENTON M.D.
Psychiatry & Neurology (Psychiatry)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
ANNE M ZEORLIN MD
Family Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 510-1165
BARAKHA YADAV SILVIA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-8235
ALYSSA PROCTOR PHARMD, BCACP
Pharmacist
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-8878
AMIA TAYLOR MSW, LCSW, LISW
Social Worker (Clinical)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-1721
JOHN A LARRINAGA MD
Radiology (Diagnostic Radiology)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 510-1175

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 Buchinger's NPI number?

The NPI number for James Buchinger is 1063567634. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is James Buchinger located?

James Buchinger practices at 520 Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 597-2002.

What is James Buchinger's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Buchinger enrolled in Medicare?

Yes. James Buchinger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Buchinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Buchinger reassigns Medicare benefits to 4 organizations: Christus Trinity Clinic Texas (Tyler, TX), Etmc Physician Group Inc. (Tyler, TX), University Of Texas Health Science Center At Tyler (Tyler, TX) and Obhg Texas Holdings, P.A. (Austin, TX). Each 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 James Buchinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Buchinger accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list James Buchinger 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 Buchinger was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.