CLIFTON HILL CATHCART JR. D.O.
NPI 1093705360
Family Medicine in Lufkin, TX

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD # A, LUFKIN, TX 75904(936) 639-1224(936) 637-7917 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Sep 29, 2022, Jan 20, 2020 (3 updates tracked since 2020).

About Clifton Hill Cathcart Jr. D.o. NPPES

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

CLIFTON HILL CATHCART JR. D.O. (NPI 1093705360) is an individual family medicine provider in Lufkin, Texas, licensed in Texas (F0412) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1976).

NPPES Registry Identity

NPI1093705360
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLIFTON HILL CATHCART JR.Credential: D.O.
Location Address1 MEDICAL CENTER BLVD # ALufkin, TX 75904-3173
Mailing Address1 Medical Center Blvd Ste ALufkin, TX 75904-3173 · (936) 639-1224 · Fax (936) 632-9322
Fax(936) 637-7917
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1976
Enumeration DateOctober 26, 2005
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1093705360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · F0412
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.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License F0412 (TX)
1 MEDICAL CENTER BLVD # A, Lufkin, TX 75904

Other Identifiers 6

Other752934073TX · Pain And Posture Txid
Other826086353TX · Medicare Railroad
Medicaid155299401TX
Other00CA20TX · Bcbs
Medicaid032423803TX
Other751778755TX · Tax Id

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

Clifton Hill Cathcart Jr. D.o. 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 ID5193814333
PECOS Enrollment IDI20120222000474
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 8

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.
335 services91 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
221 services49 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
178 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 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.
20 services17 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
69%2,185 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%209 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%298 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%298 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%298 patients1/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
10 suppliers49 claims154 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers24 claims38 services$1.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$99.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims34 services$42.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$21.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.47 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

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

Pain Medicine (Pain Medicine)
1 MEDICAL CENTER BLVD # A
LUFKIN, TX 75904

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 Clifton Cathcart's NPI number?

The NPI number for Clifton Cathcart is 1093705360. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Clifton Cathcart located?

Clifton Cathcart practices at 1 Medical Center Blvd # A, Lufkin, TX 75904. The listed phone number is (936) 639-1224.

What is Clifton Cathcart's specialty?

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

Is Clifton Cathcart enrolled in Medicare?

Yes. Clifton Cathcart 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.

Is Clifton Cathcart affiliated with any hospitals?

According to CMS data, Clifton Cathcart is affiliated with Chi St Lukes Health Memorial Lufkin and Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Clifton Cathcart was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.