ANDREW J LUISI JR. MD
NPI 1467428599
Internal Medicine - Cardiovascular Disease in Tyler, TX

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2608 MCDONALD RD, TYLER, TX 75701(903) 595-5514(903) 262-3715 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2021, May 7, 2018 (2 updates tracked since 2018).

About Andrew J Luisi Jr. Md NPPES

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

ANDREW J LUISI JR. MD (NPI 1467428599) is an individual cardiovascular disease provider in Tyler, Texas, licensed in Texas (Q1207) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1467428599
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameANDREW J LUISI JR.Credential: MD
Location Address2608 MCDONALD RDTyler, TX 75701-5934
Mailing Address2608 Mcdonald RdTyler, TX 75701-5934 · (903) 595-5514 · Fax (903) 262-3715
Fax(903) 262-3715
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJune 29, 20222 updates tracked since enumeration
NPPES CertifiedJune 29, 2022
NPI 1467428599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in TX · Q1207 Licensed in NY · 219185
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 219185-1 (NY)
2608 MCDONALD RD, Tyler, TX 75701

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

Andrew J Luisi 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 ID3779533914
PECOS Enrollment IDI20220516000861
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 25

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
659 services570 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
546 services512 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.
394 services289 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
227 services38 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.
226 services101 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.
180 services161 patients

Hospital Affiliations CMS Care Compare 4

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

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
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 75701 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.

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 20

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

Nurse Practitioner
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Clinical Cardiac Electrophysiology)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
2608 MCDONALD RD, STE 100
TYLER, TX 75701
Physician Assistant (Medical)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Interventional Cardiology)
2608 MCDONALD RD, STE 100
TYLER, TX 75701
Internal Medicine (Interventional Cardiology)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
2608 MCDONALD RD
TYLER, TX 75701

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 Andrew Luisi's NPI number?

The NPI number for Andrew Luisi is 1467428599. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Andrew Luisi located?

Andrew Luisi practices at 2608 Mcdonald Rd, Tyler, TX 75701. The listed phone number is (903) 595-5514.

What is Andrew Luisi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Andrew Luisi enrolled in Medicare?

Yes. Andrew Luisi 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 Andrew Luisi 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 Andrew Luisi 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 Andrew Luisi affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Andrew Luisi was last updated on June 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.