DR. JAMES MICHAEL FAY MD
NPI 1083818645
Anesthesiology - Pain Medicine in Lubbock, TX

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
76.4/100
CMS Quality Rating
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407(806) 744-7223(806) 740-3325 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Michael Fay Md NPPES

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

DR. JAMES MICHAEL FAY MD (NPI 1083818645) is an individual pain medicine provider in Lubbock, Texas, licensed in Texas (N1631) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2005).

NPPES Registry Identity

NPI1083818645
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. JAMES MICHAEL FAYCredential: MD
Location Address4515 MARSHA SHARP FWYLubbock, TX 79407-2520
Mailing Address2804 N Loop 289Lubbock, TX 79415-1410 · (806) 744-7223 · Fax (806) 740-3325
Fax(806) 740-3325
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2005
Enumeration DateJune 14, 2007
Last NPPES UpdateMay 10, 2016
NPI 1083818645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in TX · N1631
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License BP1-0022049 (TX)
4515 MARSHA SHARP FWY, Lubbock, TX 79407

Other Identifiers 1

Other2790065021Myutmb 2790065021-commercial Number

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

Dr. James Michael Fay 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 ID8729131735
PECOS Enrollment IDI20090807000375
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 27

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.

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.
990 services435 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
680 services52 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
486 services309 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
174 services174 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
137 services131 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
101 services83 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality58.19
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
10%892 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
65%127 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
0%980 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
54%134 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%35 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%35 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%4,515 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,590 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%4,149 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,375 patients
0%1,375 patients
Provide Patients Electronic Access to Their Health Information
86%747 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%70 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 898 patients
Patients totalRate: 8% · 900 patients
7%900 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant (Surgical)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Podiatrist (Foot & Ankle Surgery)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Internal Medicine (Cardiovascular Disease)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Pharmacist
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Obstetrics & Gynecology (Gynecology)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Family Medicine
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Obstetrics & Gynecology
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407
Obstetrics & Gynecology (Gynecology)
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407

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 Fay's NPI number?

The NPI number for James Fay is 1083818645. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is James Fay located?

James Fay practices at 4515 Marsha Sharp Fwy, Lubbock, TX 79407. The listed phone number is (806) 744-7223.

What is James Fay's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is James Fay enrolled in Medicare?

Yes. James Fay 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 Fay 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 4 other insurers list James Fay 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 Fay affiliated with any hospitals?

According to CMS data, James Fay is affiliated with Adventhealth Central Texas and St David's Medical Center.

When was this NPI record last updated?

The NPPES record for James Fay was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.