DR. JAMES MICHAEL ANDRY MD
NPI 1316010986
Internal Medicine - Sleep Medicine in San Antonio, TX

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5290 MEDICAL DR, SAN ANTONIO, TX 78229(210) 614-6000(210) 614-7728 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Michael Andry Md NPPES

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

DR. JAMES MICHAEL ANDRY MD (NPI 1316010986) is an individual sleep medicine provider in San Antonio, Texas, licensed in Texas (G3112) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of University Of Texas Medical School At San Antonio (1982).

NPPES Registry Identity

NPI1316010986
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. JAMES MICHAEL ANDRYCredential: MD
Location Address5290 MEDICAL DRSan Antonio, TX 78229-4849
Mailing Address5290 Medical DrSan Antonio, TX 78229-4849 · (210) 614-6000 · Fax (210) 614-7728
Fax(210) 614-7728
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1982
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 9, 2023
NPPES CertifiedJune 9, 2023
NPI 1316010986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in TX · G3112
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedSpecialistTaxonomy 174400000X · License G3112 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License G3112 (TX)
5290 MEDICAL DR, San Antonio, TX 78229

Secondary Practice Location 1

Location 119222 Stonehue # 105ASan Antonio, TX 78258-3453 · Phone (210) 614-6000 · Fax (210) 614-7728

Other Identifiers 1

Medicaid1104663-04TX

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 Andry 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 ID3971599176
PECOS Enrollment IDI20040608000153
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 11

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.

Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
1,084 services598 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.
676 services434 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.
214 services214 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
185 services179 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
181 services138 patients
Therapy procedure using a positive pressure ventilator 94660
A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.
148 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers274 claims274 services$30.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers240 claims240 services$69.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
18 suppliers210 claims554 services$26.66 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers91 claims514 services$14.33 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers56 claims320 services$12.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers172 claims172 services$45.99 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 15

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

Nurse Practitioner (Family)
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Durable Medical Equipment & Medical Supplies
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5290 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Adult Health)
5290 MEDICAL DR
SAN ANTONIO, TX 78229

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 Andry's NPI number?

The NPI number for James Andry is 1316010986. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is James Andry located?

James Andry practices at 5290 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 614-6000.

What is James Andry's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is James Andry enrolled in Medicare?

Yes. James Andry 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 Andry 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 6 other insurers list James Andry 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 Andry was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.