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

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: July 26, 2026.

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

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
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

Other Identifiers 6

Medicare PIN274158YND4TX
OtherP01601410TX · Rrmcr
Medicare PIN274158YX28TX
Medicaid117289212TX
Medicaid117289211TX
Medicare PIN274158YNEDTX

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

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.

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

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 Interoperability100
Improvement Activities40

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.

Urology
4370 MEDICAL ARTS DR, SUITE 105
FLOWER MOUND, TX 75028
Internal Medicine (Nephrology)
4370 MEDICAL ARTS DR, SUITE 210
FLOWER MOUND, TX 75028
Clinic/Center
4370 MEDICAL ARTS DR, SUITE # 315
FLOWER MOUND, TX 75028
Specialist
4370 MEDICAL ARTS DR, #315
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, SUITE 295
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

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.

What insurance does John Fairbanks accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company 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 with the weekly NPPES data releases published by CMS.