ARTHUR TIJERINA M.D.
NPI 1124056619
Urology in Paris, TX

Q: What is Arthur Tijerina's NPI number?

The NPI number for Arthur Tijerina is 1124056619. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Arthur Tijerina's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Arthur Tijerina was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment

90.64/100

CMS Quality Rating

811 E AUSTIN ST, PARIS, TX 75460(903) 785-0338(903) 785-5369 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Arthur Tijerina M.d. NPPES

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

ARTHUR TIJERINA M.D. (NPI 1124056619) is an individual urology provider in Paris, Texas, licensed in Texas (D6196) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1969).

NPPES Registry Identity

NPI1124056619

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameARTHUR TIJERINACredential: M.D.

Location Address811 E AUSTIN STParis, TX 75460-7353

Mailing Address811 E Austin StParis, TX 75460-7353 · (903) 785-0338 · Fax (903) 785-5369

Phone(903) 785-0338

Fax(903) 785-5369

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1969

Enumeration DateJune 30, 2006

Last NPPES UpdateFebruary 2, 2010

✔ NPI 1124056619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · D6196

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

811 E AUSTIN ST, Paris, TX 75460

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Other Identifiers 6

Other879001TX · Blue Cross Blue Shield Of Texas

Other0004412062TX · Aetna Healthcare

Other340008791TX · Railroad Medicare

Medicaid105493401TX

Medicare PIN879001TX

Medicare UPINB26989TX

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 Home State Health 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

Arthur Tijerina M.d. 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 ID6608977384

PECOS Enrollment IDI20100512000464

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 31

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

3,557 services1,818 patients

Bcg live intravesical instillation, 1 mg J9030

BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.

3,402 services15 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.

2,816 services1,570 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

1,914 services1,167 patients

Psa (prostate specific antigen) measurement, complexed 84152

A PSA measurement is a blood test that helps check the health of a certain gland in your body. The 'complexed' part means it specifically looks for a certain type of protein. This test is often used to detect potential issues early and to monitor ongoing conditions.

1,830 services1,132 patients

Subsequent dilation of urethra in female 53661

This procedure involves the gentle widening of the urinary passage in females to help alleviate any blockages or restrictions. It's usually done under anesthesia and can significantly improve comfort and function.

769 services393 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

582 services400 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.

327 services327 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

247 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

227 services183 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

142 services104 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

117 services97 patients

Initial dilation of urethra in female 53660

Initial dilation of the urethra in a female is a procedure to widen a narrow urinary passage. It helps improve the flow of urine from the body. A special instrument is gently inserted to gradually enlarge the passage. It's a common, safe, and usually quick procedure.

112 services112 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.

86 services29 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

84 services39 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

74 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

46 services42 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

44 services24 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.

43 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

40 services40 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

37 services18 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.

36 services36 patients

Needle biopsy of prostate gland using image guidance 55706

A needle biopsy of the prostate gland using image guidance is a procedure where a small sample of tissue is collected for testing. This is done with the help of images to ensure precision. It helps doctors diagnose and treat potential health issues.

34 services34 patients

Subsequent dilation of stricture of urethra in male by passage of dilator 53601

This procedure involves gently widening a narrowed area in the urinary channel, using a special instrument. It's done to improve the flow of urine. The process is safe and usually helps alleviate discomfort related to urination.

32 services16 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

27 services26 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

22 services22 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

21 services21 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

19 services19 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

17 services17 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

13 services13 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450196

Location865 Deshong DrParis, TX 75460 · Lamar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75460 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.

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.

90.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

68.82

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%566 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers21 claims3,450 services$1.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

JANE TIJERINA NP

Nurse Practitioner

811 E AUSTIN ST
PARIS, TX 75460

Lamar County (903) 785-0338

TIJERINA UROLOGY CLINIC, PA

Specialist

811 E AUSTIN ST
PARIS, TX 75460

Lamar County (903) 785-0338

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 Arthur Tijerina's NPI number?

The NPI number for Arthur Tijerina is 1124056619. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Arthur Tijerina located?

Arthur Tijerina practices at 811 E Austin St, Paris, TX 75460. The listed phone number is (903) 785-0338.

What is Arthur Tijerina's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Arthur Tijerina enrolled in Medicare?

Yes. Arthur Tijerina 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 Arthur Tijerina accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 4 other insurers list Arthur Tijerina 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 Arthur Tijerina affiliated with any hospitals?

According to CMS data, Arthur Tijerina is affiliated with Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Arthur Tijerina was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.