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DR. JAMES R MENARD MD
NPI 1447446653
Family Medicine in Tyler, TX

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
11937 HWY 271, TYLER, TX 75708(903) 877-7777(903) 877-5080 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Apr 24, 2024, Sep 17, 2016 (3 updates tracked since 2016).

About Dr. James R Menard Md NPPES

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

DR. JAMES R MENARD MD (NPI 1447446653) is an individual family medicine provider in Tyler, Texas, licensed in Texas (N5861) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1447446653
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES R MENARDCredential: MD
Location Address11937 HWY 271Tyler, TX 75708-3154
Mailing AddressPo Box 731912Dallas, TX 75373-1912 · (903) 877-7777 · Fax (903) 877-5080
Phone(903) 877-7777
Fax(903) 877-5080
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2007
Enumeration DateSeptember 20, 2007
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1447446653 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 · N5861
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 ListedEmergency MedicineTaxonomy 207P00000X · License N5861 (TX)
11937 HWY 271, Tyler, TX 75708
Open in Google Maps ↗

Secondary Practice Location 1

Location 18288 S Broadway AveTyler, TX 75703-5262 · Phone (903) 606-7060

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

Dr. James R Menard 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 ID6305961707
PECOS Enrollment IDI20100908000801
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 9

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 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.
148 services115 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.
81 services32 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.
60 services32 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.
47 services38 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.
33 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75708 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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

JACKIE LYNN MCDONALD RN, COHN-S, CAOHC
Registered Nurse (Occupational Health)
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-5553
UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER
Counselor
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-7777
DR. LISA K SKARIAH PHARMD
Pharmacist
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-7090
MS. JANET B SELIGA FNP
Nurse Practitioner
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-7826
MR. RUSSELL W HAYES PA
Physician Assistant
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-7911
LISA MILSTEAD PT
Physical Therapist
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-7293
AJAY PRABHU
Student in an Organized Health Care Education/Training Program
11937 HWY 271
TYLER, TX 75708
Smith County (903) 877-7253

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 Menard's NPI number?

The NPI number for James Menard is 1447446653. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is James Menard located?

James Menard practices at 11937 Hwy 271, Tyler, TX 75708. The listed phone number is (903) 877-7777.

What is James Menard's specialty?

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

Is James Menard enrolled in Medicare?

Yes. James Menard 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 Menard 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 Menard 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 Menard affiliated with any hospitals?

According to CMS data, James Menard is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for James Menard was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.