DR. JAMES MATTHEW HUBLEY DO
NPI 1497311351
Internal Medicine in Austin, TX

Active since May 16, 2019PECOS Enrolled
72.52/100
CMS Quality Rating
1500 RED RIVER ST, AUSTIN, TX 78701(512) 324-8355 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Matthew Hubley Do NPPES

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

DR. JAMES MATTHEW HUBLEY DO (NPI 1497311351) is an individual internal medicine provider in Austin, Texas, licensed in Texas (BP10067171) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497311351
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES MATTHEW HUBLEYCredential: DO
Location Address1500 RED RIVER STAustin, TX 78701-1918
Mailing Address1500 Red River StAustin, TX 78701-1918 · (512) 324-8355
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 16, 2019
✔ NPI 1497311351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · BP10067171
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 RED RIVER ST, Austin, TX 78701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Matthew Hubley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072994821
PECOS Enrollment IDI20220726000069
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 Reassignments

2

Medicare enrollment records show James Hubley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
Family Medicine
1210 W BRAKER LN
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 240 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

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.
44 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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.

Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Pharmacist
1500 RED RIVER ST
AUSTIN, TX 78701
Nurse Practitioner (Family)
1500 RED RIVER ST
AUSTIN, TX 78701
Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Surgery
1500 RED RIVER ST
AUSTIN, TX 78701
Emergency Medicine
1500 RED RIVER ST
AUSTIN, TX 78701
Psychiatry & Neurology (Psychiatry)
1500 RED RIVER ST
AUSTIN, TX 78701
Physician Assistant
1500 RED RIVER ST
AUSTIN, TX 78701

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 Hubley's NPI number?

The NPI number for James Hubley is 1497311351. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is James Hubley located?

James Hubley practices at 1500 Red River St, Austin, TX 78701. The listed phone number is (512) 324-8355.

What is James Hubley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Hubley enrolled in Medicare?

Yes. James Hubley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Hubley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hubley reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Central Texas Community Health Centers (Austin, TX). Each 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 Hubley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hubley 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 4 other insurers list James Hubley 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 Hubley affiliated with any hospitals?

According to CMS data, James Hubley is affiliated with Ascension Seton Medical Center Austin and Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for James Hubley was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.