DR. JOHN ANDREW PUMPHREY M.D.
NPI 1700833704
Urology in Fort Worth, TX

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
5450 CLEARFORK MAIN ST STE 420, FORT WORTH, TX 76109(817) 784-8268(817) 346-6173 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2019, Apr 15, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. John Andrew Pumphrey M.d. NPPES

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

DR. JOHN ANDREW PUMPHREY M.D. (NPI 1700833704) is an individual urology provider in Fort Worth, Texas, licensed in Texas (H2701) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1986).

NPPES Registry Identity

NPI1700833704
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN ANDREW PUMPHREYCredential: M.D.
Location Address5450 CLEARFORK MAIN ST STE 420Fort Worth, TX 76109-3559
Mailing Address5450 Clearfork Main St Ste 420Fort Worth, TX 76109-3559 · (817) 784-8268 · Fax (817) 346-6173
Fax(817) 346-6173
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1986
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 1, 20195 updates tracked since enumeration
NPI 1700833704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · H2701
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5450 CLEARFORK MAIN ST STE 420, Fort Worth, TX 76109

Other Identifiers 3

Medicaid129073606TX
Medicaid129073607TX
Medicaid129073608TX

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

Dr. John Andrew Pumphrey 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 ID1052219235
PECOS Enrollment IDI20140106000519
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 21

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,355 services849 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.
1,299 services836 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
682 services524 patients
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.
180 services128 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
152 services123 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
116 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76109 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers40 claims3,620 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers27 claims5,130 services$1.75 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers52 claims7,916 services$6.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Urology
5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX 76109
Surgery
5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX 76109
Urology
5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX 76109
Nurse Practitioner (Gerontology)
5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX 76109
Surgery
5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX 76109
Nurse Practitioner (Acute Care)
5450 CLEARFORK MAIN ST STE 420
FORT WORTH, TX 76109

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 John Pumphrey's NPI number?

The NPI number for John Pumphrey is 1700833704. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is John Pumphrey located?

John Pumphrey practices at 5450 Clearfork Main St Ste 420, Fort Worth, TX 76109. The listed phone number is (817) 784-8268.

What is John Pumphrey's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Pumphrey enrolled in Medicare?

Yes. John Pumphrey 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 John Pumphrey accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list John Pumphrey 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.

When was this NPI record last updated?

The NPPES record for John Pumphrey was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.