DR. JAMES F DUNN MD
NPI 1518929918
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Worth, TX

NPI Status: Active since April 03, 2006

Contact Information

909 9TH AVE
SUITE 300
FORT WORTH, TX
ZIP 76104
Phone: (817) 336-7191
Fax: (817) 288-0617

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  • Individual
  • Male
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About JAMES DUNN

This page provides the complete NPI Profile along with additional information for James Dunn, an internist established in Fort Worth, Texas with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1518929918 assigned on April 2006. The practitioner's primary taxonomy code is 207RE0101X with license number E4312 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1518929918
Provider Name
DR. JAMES F DUNN MD
Gender
Male
Entity Type
Individual
Location Address
909 9TH AVE SUITE 300 FORT WORTH, TX 76104
Location Phone
(817) 336-7191
Location Fax
(817) 288-0617
Mailing Address
705 E GREENWOOD AVE BOWIE MEMORIAL HOSPITAL BOWIE, TX 76230
Mailing Phone
(940) 872-1126
Is Sole Proprietor?
No
Enumeration Date
04-03-2006
Last Update Date
08-14-2015
Code Navigator

An internist like James Dunn is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
E4312
License State
TX
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

E4312 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
83165BMEDICARE ID-TYPE UNSPECIFIED (04)TX 
P01132995OTHER (01)TXRAILROAD MEDICARE
B87615MEDICARE UPIN (02)TX 
134657908MEDICAID (05)TX 
134657910OTHER (01)TXMEDICAID - OTHER COUNTY
8K9157MEDICARE PIN (08)TX 
P01132995OTHER (01)TXMEDICARE RAILROAD
134657909MEDICAID (05)TX 
TXB166545MEDICARE PIN (08)TX 
894810YL7AOTHER (01)TXMEDICARE - OTHER COUNTY

Medicare Participation & PECOS Enrollment Status

James Dunn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    8 DME suppliers used 25 Medicare Claims 54 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    6 DME suppliers used 77 Medicare Claims 78 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 18 times for 18 patients

Physician or allowed practitioner re-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 a

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

This service was performed 59 times for 16 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 76104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.63
  • Minimum New Patient Price $56.47
  • Maximum New Patient Price $171.07
  • Average New Patient Copayment $32.4
  • Minimum New Patient Copayment $14.11
  • Maximum New Patient Copayment $42.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.68
  • Minimum Established Patient Price $18.18
  • Maximum Established Patient Price $139.68
  • Average Established Patient Copayment $24.92
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.92

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 19% 149
Controlling High Blood Pressure 55% 149
Diabetes: Eye Exam 7% 119
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 95% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
119
e-Prescribing 100% 418
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 21% 233
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 38% 173
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 17% 137
Provide Patients Electronic Access to Their Health Information 78% 147

Reviews for DR. JAMES F DUNN MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518929918, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 1 + 8 + 2 + 1 + 8 + 9 + 2 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1518929918.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
909 9TH AVE, STE 300
FORT WORTH, TX 76104
Internal Medicine
909 9TH AVE, STE 300
FORT WORTH, TX 76104
Internal Medicine (Hematology & Oncology)
909 9TH AVE, SUITE 402
FORT WORTH, TX 76104
Ophthalmology
909 9TH AVE, STE 401
FORT WORTH, TX 76104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
909 9TH AVE, SUITE 210
FORT WORTH, TX 76104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
909 9TH AVE, SUITE 210
FORT WORTH, TX 76104
Specialist
909 9TH AVE, SUITE 101
FORT WORTH, TX 76104
Surgery (Vascular Surgery)
909 9TH AVE, STE 201
FORT WORTH, TX 76104
Internal Medicine (Medical Oncology)
909 9TH AVE, SUITE 402
FORT WORTH, TX 76104
Ophthalmology
909 9TH AVE, STE 401
FORT WORTH, TX 76104
Surgery (Surgical Oncology)
909 9TH AVE, SUITE 402
FORT WORTH, TX 76104
Plastic Surgery
909 9TH AVE, STE 200
FORT WORTH, TX 76104
Transplant Surgery
909 9TH AVE, SUITE 400
FORT WORTH, TX 76104
Internal Medicine
909 9TH AVE, SUITE 405
FORT WORTH, TX 76104
Surgery (Surgical Oncology)
909 9TH AVE, SUITE 208
FORT WORTH, TX 76104
Nurse Practitioner
909 9TH AVE, SUITE 300
FT WORTH, TX 76104
Surgery
909 9TH AVE, SUITE 208
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
909 9TH AVE, SUITE 201
FORT WORTH, TX 76104
Family Medicine
909 9TH AVE, SUITE 300
FORT WORTH, TX 76104
Internal Medicine (Rheumatology)
909 9TH AVE, SUITE 300
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518929918, enumerated as an "individual" on April 03, 2006.

The provider is located at 909 9TH AVE SUITE 300 FORT WORTH, TX 76104 and the phone number is (817) 336-7191.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to verify.