1. Home
  2. Directory
  3. Texas
  4. Shenandoah
  5. Surgery
  6. NPI Profile

JAMES RYAN MAGGART MD
NPI 1093802985
Surgery in Shenandoah, TX

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
75.85/100
CMS Quality Rating
9200 PINECROFT DR, STE 255, SHENANDOAH, TX 77380(281) 419-8400(281) 292-1972 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2026, Aug 11, 2020 (2 updates tracked since 2020).

About James Ryan Maggart Md NPPES

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

JAMES RYAN MAGGART MD (NPI 1093802985) is an individual surgery provider in Shenandoah, Texas, licensed in Texas (L8423) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1093802985
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES RYAN MAGGARTCredential: MD
Location Address9200 PINECROFT DR, STE 255Shenandoah, TX 77380-3279
Mailing Address9200 Pinecroft Dr Ste 255Shenandoah, TX 77380-3286 · (281) 419-8400 · Fax (281) 292-1972
Phone(281) 419-8400
Fax(281) 292-1972
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1999
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1093802985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · L8423
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9200 PINECROFT DR, Shenandoah, TX 77380
Open in Google Maps ↗

Secondary Practice Locations 4

Location 117201 Interstate 45 SThe Woodlands, TX 77385-3311 · Phone (936) 270-2000
Location 29250 Pinecroft DrShenandoah, TX 77380-3218 · Phone (281) 364-2300
Location 39863 Fm 1097 Rd WWillis, TX 77318-4937 · Phone (936) 228-8955
Location 41501 River Pointe Dr Ste 200Conroe, TX 77304-2861 · Phone (936) 760-3443

Other Identifiers 2

Medicaid166153001TX
Medicaid166153002TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

James Ryan Maggart 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 ID648268078
PECOS Enrollment IDI20040504001489
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 10

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
70 services69 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.
67 services67 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.
59 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
53 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services40 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.
32 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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.

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.

75.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.51
Improvement Activities40
Cost90.19

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%26 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%26 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%86 patients3/55-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.

PETAR TURCINOVIC MD
Surgery
9200 PINECROFT DR, SUITE 250
SHENANDOAH, TX 77380
Montgomery County (281) 419-8400
DR. BENJAMIN T AGANA JR. MD
Physical Medicine & Rehabilitation
9200 PINECROFT DR, STE.# 360
SHENANDOAH, TX 77380
Montgomery County (281) 419-3366
PAUL S. GILL, M.D., PLLC
Clinic/Center (Medical Specialty)
9200 PINECROFT DR, SUITE 460
SHENANDOAH, TX 77380
Montgomery County (281) 853-5308
DR. SAYL BUNYAN M.D.
Surgery
9200 PINECROFT DR, SUITE 255
SHENANDOAH, TX 77380
Montgomery County (281) 419-8400
PETAR TURCINOVIC MD PA
Surgery
9200 PINECROFT DR, SUITE 250
SHENANDOAH, TX 77380
Montgomery County (281) 419-8400
ALANA NICOLE WILSON PA-C
Physician Assistant (Surgical)
9200 PINECROFT DR, SUITE 460
SHENANDOAH, TX 77380
Montgomery County (281) 853-5308
CHRISTI ANN SWIERENGA
Nurse Practitioner
9200 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (281) 296-0365
JANE C. REED, M.D., P.A.
Clinic/Center (Medical Specialty)
9200 PINECROFT DR, SUITE 350
THE WOODLANDS, TX 77380
Montgomery County (282) 363-2426

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 Maggart's NPI number?

The NPI number for James Maggart is 1093802985. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is James Maggart located?

James Maggart practices at 9200 Pinecroft Dr Ste 255, Shenandoah, TX 77380. The listed phone number is (281) 419-8400.

What is James Maggart's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Maggart enrolled in Medicare?

Yes. James Maggart 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 Maggart accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list James Maggart 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 Maggart affiliated with any hospitals?

According to CMS data, James Maggart is affiliated with Memorial Hermann Hospital System, Memorial Hermann Northeast Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for James Maggart was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.