JAMES S. STEWART EVANS M.D.
NPI 1396769543
Internal Medicine - Infectious Disease in Austin, TX

Q: What is James Evans's NPI number?

The NPI number for James Evans is 1396769543. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is James Evans's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for James Evans was last updated on July 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

76.73/100

CMS Quality Rating

1301 W 38TH ST, SUITE 403, AUSTIN, TX 78705(512) 459-9710(512) 459-9701 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About James S. Stewart Evans M.d. NPPES

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

JAMES S. STEWART EVANS M.D. (NPI 1396769543) is an individual infectious disease provider in Austin, Texas, licensed in Texas (K8138) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Washington School Of Medicine (1990).

NPPES Registry Identity

NPI1396769543

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameJAMES S. STEWART EVANSCredential: M.D.

Location Address1301 W 38TH ST, SUITE 403Austin, TX 78705-1000

Mailing Address1301 W 38th St, Suite 403Austin, TX 78705-1000 · (512) 459-9710 · Fax (512) 459-9701

Phone(512) 459-9710

Fax(512) 459-9701

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1990

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 13, 2010

✔ NPI 1396769543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TX · K8138

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1301 W 38TH ST, Austin, TX 78705

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James S. Stewart Evans M.d. 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 ID7012913809

PECOS Enrollment IDI20120227000259

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 7

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.

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.

137 services63 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

136 services120 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services58 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

76 services51 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

64 services29 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

27 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450809

Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County

Emergency services Birthing friendly

Ascension Seton Northwest

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450867

Location11113 Research BoulevardAustin, TX 78759 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

76.73/100

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

Scored as part of a group practice

Quality

64.27

Improvement Activities

Cost

53.41

Other Providers at the Same Location NPPES 20

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

LYDA SWEENEY MD

Obstetrics & Gynecology

1301 W 38TH ST, STE 300
AUSTIN, TX 78705

Travis County (512) 454-5721

HALEY KENT BEASLEY MD

Specialist

1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705

Travis County (512) 454-5171

SHELDON L MARKOWITZ MC

Specialist

1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705

Travis County (512) 454-5171

WILLIAM R WOODWARD MD

Specialist

1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705

Travis County (512) 454-5171

ADAM J SCHNEIDER MD

Internal Medicine

1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705

Travis County (512) 454-5171

DRS. MCHORSE, FOSTER AND NUTSON, L.L.P.

Internal Medicine

1301 W 38TH ST, SUITE 402
AUSTIN, TX 78705

Travis County (512) 454-7453

STEPHANIE ANN BOOTH M.D.

Specialist

1301 W 38TH ST, SUITE 110
AUSTIN, TX 78705

Travis County (512) 454-3631

DR. ANNE COMPEAU AMES D.P.M.

Podiatrist

1301 W 38TH ST, SUITE 707
AUSTIN, TX 78705

Travis County (512) 407-8188

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 Evans's NPI number?

The NPI number for James Evans is 1396769543. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Evans located?

James Evans practices at 1301 W 38th St Suite 403, Austin, TX 78705. The listed phone number is (512) 459-9710.

What is James Evans's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Evans enrolled in Medicare?

Yes. James Evans 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 Evans accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list James Evans 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 Evans affiliated with any hospitals?

According to CMS data, James Evans is affiliated with Ascension Seton Medical Center Austin, Round Rock Medical Center, North Austin Medical Center and Ascension Seton Northwest.

When was this NPI record last updated?

The NPPES record for James Evans was last updated on July 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.