DR. JAMES H ATKINS JR. MD
NPI 1396730776
Otolaryngology in San Antonio, TX

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
27.45/100
CMS Quality Rating
15900 LA CANTERA PKWY, STE 20210, SAN ANTONIO, TX 78256(830) 816-3838(830) 816-3833 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James H Atkins Jr. Md NPPES

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

DR. JAMES H ATKINS JR. MD (NPI 1396730776) is an individual otolaryngology provider in San Antonio, Texas, licensed in Texas (H0145) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1985).

NPPES Registry Identity

NPI1396730776
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JAMES H ATKINS JR.Credential: MD
Location Address15900 LA CANTERA PKWY, STE 20210San Antonio, TX 78256-2422
Mailing Address15900 La Cantera Pkwy, Ste 20210San Antonio, TX 78256-2422 · (210) 607-4687 · Fax (830) 816-3833
Fax(830) 816-3833
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1985
Enumeration DateSeptember 13, 2005
Last NPPES UpdateFebruary 6, 2013
NPI 1396730776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · H0145
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

15900 LA CANTERA PKWY, San Antonio, TX 78256

Other Identifiers 1

Medicare UPINE82246TX

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 H Atkins Jr. 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 ID2466400981
PECOS Enrollment IDI20110425000388
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 16

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
620 services13 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.
458 services257 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.
187 services187 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.
171 services139 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
166 services143 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
131 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78256 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.

27.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.91
Improvement Activities0

Reported Quality Measures

Breast Cancer Screening
0%425 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%1,067 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
27%3,952 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
41%1,996 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,073 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 27% · 1,031 patients
27%1,031 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 519 patients
Patients totalRate: 0% · 519 patients
0%519 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.

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.

Dentist (General Practice)
15900 LA CANTERA PKWY, SUITE 26245
SAN ANTONIO, TX 78256
Emergency Medicine
15900 LA CANTERA PKWY, SUITE 20256
SAN ANTONIO, TX 78256
Optometrist
15900 LA CANTERA PKWY, SUITE 20215
SAN ANTONIO, TX 78256
Physician Assistant
15900 LA CANTERA PKWY, SUITE 20265
SAN ANTONIO, TX 78256
Emergency Medicine
15900 LA CANTERA PKWY, SUITE 20265
SAN ANTONIO, TX 78256
Eyewear Supplier
15900 LA CANTERA PKWY
SAN ANTONIO, TX 78256
Physician Assistant (Medical)
15900 LA CANTERA PKWY, SUITE 20265
SAN ANTONIO, TX 78256
Optometrist
15900 LA CANTERA PKWY, SUITE 6697
SAN ANTONIO, TX 78256

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 Atkins's NPI number?

The NPI number for James Atkins is 1396730776. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is James Atkins located?

James Atkins practices at 15900 La Cantera Pkwy Ste 20210, San Antonio, TX 78256. The listed phone number is (830) 816-3838.

What is James Atkins's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Atkins enrolled in Medicare?

Yes. James Atkins 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 Atkins accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list James Atkins 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 Atkins was last updated on February 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.