JOHN LAWRENCE FAIRBANKS MD
NPI 1376645283
Urology in Flower Mound, TX

Q: What is John Fairbanks's NPI number?

The NPI number for John Fairbanks is 1376645283. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is John Fairbanks'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 John Fairbanks was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 01, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4370 MEDICAL ARTS DR, SUITE 105, FLOWER MOUND, TX 75028(214) 394-4500(214) 513-2059 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2017, Jan 26, 2016, Nov 12, 2015 (3 updates tracked since 2015).

On this page

About John Lawrence Fairbanks Md NPPES

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

JOHN LAWRENCE FAIRBANKS MD (NPI 1376645283) is an individual urology provider in Flower Mound, Texas, licensed in Texas (J9018) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Flower Mound, and is a graduate of Chicago College Of Medicine And Surgery (1986).

NPPES Registry Identity

NPI1376645283

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJOHN LAWRENCE FAIRBANKSCredential: MD

Location Address4370 MEDICAL ARTS DR, SUITE 105Flower Mound, TX 75028-1712

Mailing Address3600 Gaston Ave, Suite 1205Dallas, TX 75246-1800 · (214) 692-8262 · Fax (214) 696-4190

Phone(214) 394-4500

Fax(214) 513-2059

Sole ProprietorNo

Medical School CMSChicago College Of Medicine And SurgeryGraduated 1986

Enumeration DateSeptember 1, 2006

Last NPPES UpdateJanuary 31, 20173 updates tracked since enumeration

✔ NPI 1376645283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · J9018

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.

4370 MEDICAL ARTS DR, Flower Mound, TX 75028

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Other Identifiers 6

Medicare PIN274158YND4TX

OtherP01601410TX · Rrmcr

Medicare PIN274158YX28TX

Medicaid117289212TX

Medicaid117289211TX

Medicare PIN274158YNEDTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Lawrence Fairbanks 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 ID9234223843

PECOS Enrollment IDI20080815000546

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.

Medicare Billing Reassignment

Medicare enrollment records show John Fairbanks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology Clinics Of North Texas, PLLC

7.9 mi

Specialist

1631 LANCASTER DR STE 350
Grapevine, TX 76051

Reassigned Medicare billing, Texas enrollment
73 clinicians in this Medicare group

NPI 1780971549 (214) 915-8502

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 26

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.

1,207 services634 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.

958 services514 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.

503 services352 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

484 services346 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.

366 services264 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.

312 services225 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

206 services52 patients

Bacterial colony count, urine 87086

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

177 services130 patients

Bacterial urine culture 87088

A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.

125 services72 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.

124 services124 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.

123 services94 patients

Testosterone (hormone) level, total 84403

A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.

107 services69 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

80 services20 patients

Bacterial culture for aerobic isolates 87077

A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.

66 services42 patients

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186

This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.

65 services42 patients

Measurement of total estradiol (hormone) 82670

Total estradiol measurement is a simple blood test that examines the level of a key hormone in your body. This hormone plays a vital role in many body functions. The test helps understand if hormone levels are balanced, which can impact overall health.

64 services41 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.

44 services44 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

39 services33 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.

34 services34 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

23 services23 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

20 services20 patients

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.

20 services20 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

19 services19 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.

19 services12 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

15 services13 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670068

Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 14

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

DR. JOHN LANCE PICKARD MD

Urology

4370 MEDICAL ARTS DR, SUITE 105
FLOWER MOUND, TX 75028

Denton County (214) 691-1902

NORTH TEXAS KIDNEY DISEASE ASSOCIATES

Internal Medicine (Nephrology)

4370 MEDICAL ARTS DR, SUITE 210
FLOWER MOUND, TX 75028

Denton County (972) 219-0558

COMPLETE FERTILITY CARE, PLLC

Clinic/Center

4370 MEDICAL ARTS DR, SUITE # 315
FLOWER MOUND, TX 75028

Denton County (214) 223-1921

REPRODUCTION HEALTHCARE PLLC

Specialist

4370 MEDICAL ARTS DR, #315
FLOWER MOUND, TX 75028

Denton County (817) 769-2850

DR. JAMES T COX M.D.

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

NISHANT JAYANTI PATEL MD

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, SUITE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

DR. ANDREW FOY HOLT M.D.

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

DR. ANITA C. STEEPHEN M.D.

Internal Medicine (Gastroenterology)

4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Denton County (972) 691-3777

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 John Fairbanks's NPI number?

The NPI number for John Fairbanks is 1376645283. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is John Fairbanks located?

John Fairbanks practices at 4370 Medical Arts Dr Suite 105, Flower Mound, TX 75028. The listed phone number is (214) 394-4500.

What is John Fairbanks's specialty?

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

Is John Fairbanks enrolled in Medicare?

Yes. John Fairbanks 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.

Which organization bills Medicare for John Fairbanks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Fairbanks reassigns Medicare benefits to Urology Clinics Of North Texas, PLLC (Grapevine, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Fairbanks accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and WellPoint list John Fairbanks 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 John Fairbanks affiliated with any hospitals?

According to CMS data, John Fairbanks is affiliated with Texas Health Presbyterian Hospital Flower Mound.

When was this NPI record last updated?

The NPPES record for John Fairbanks was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.