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JAMES PITTMAN MD
NPI 1396475455
Family Medicine in Athens, TX

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
115 MEDICAL CIR STE 100, ATHENS, TX 75751(903) 603-7067(903) 603-7595 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2025, Jul 2, 2025 (2 updates tracked since 2025).

About James Pittman Md NPPES

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

JAMES PITTMAN MD (NPI 1396475455) is an individual family medicine provider in Athens, Texas, licensed in Texas (V5327) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Athens Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2022).

NPPES Registry Identity

NPI1396475455
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES PITTMANCredential: MD
Location Address115 MEDICAL CIR STE 100Athens, TX 75751-9004
Mailing Address115 Medical Cir Ste 100Athens, TX 75751-9004 · (903) 603-7067
Phone(903) 603-7067
Fax(903) 603-7595
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1396475455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V5327
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10080628 (TX)
115 MEDICAL CIR STE 100, Athens, TX 75751
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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 Louisiana Healthcare Connections 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

James Pittman 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 ID2163804543
PECOS Enrollment IDI20250918003732
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 James Pittman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Texas Community Clinic, Inc.
19 mi
Federally Qualified Health Center (FQHC)
801 W MAIN ST
Gun Barrel City, TX 75156
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
NPI 1033752456 (903) 887-1011

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

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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
$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.

Other Providers at the Same Location NPPES 4

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

DR. RICHARD T DAVID MD
Family Medicine
115 MEDICAL CIR STE 100
ATHENS, TX 75751
Henderson County (903) 603-7067
EAST TEXAS COMMUNITY CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
115 MEDICAL CIR STE 100
ATHENS, TX 75751
Henderson County (903) 603-7067
CLARISSA ANNE LONG DO
Family Medicine
115 MEDICAL CIR STE 100
ATHENS, TX 75751
Henderson County (903) 603-7067
GANNON BRADLEY MARSH FNP
Nurse Practitioner (Family)
115 MEDICAL CIR STE 100
ATHENS, TX 75751
Henderson County (903) 676-1144

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 Pittman's NPI number?

The NPI number for James Pittman is 1396475455. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is James Pittman located?

James Pittman practices at 115 Medical Cir Ste 100, Athens, TX 75751. The listed phone number is (903) 603-7067.

What is James Pittman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Pittman enrolled in Medicare?

Yes. James Pittman 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 James Pittman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pittman reassigns Medicare benefits to East Texas Community Clinic, Inc. (Gun Barrel City, 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 James Pittman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pittman 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 2 other insurers list James Pittman 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 Pittman affiliated with any hospitals?

According to CMS data, James Pittman is affiliated with Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for James Pittman was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.