DR. ADAIR DEBERRY-CARLISLE D.O.
NPI 1730110651
Surgery in Tyler, TX

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
630 S FLEISHEL AVE, TYLER, TX 75701(903) 606-5560 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, Mar 5, 2023, Sep 7, 2022 and 6 more (9 updates tracked since 2017).

About Dr. Adair Deberry-carlisle D.o. NPPES

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

DR. ADAIR DEBERRY-CARLISLE D.O. (NPI 1730110651) is an individual surgery provider in Tyler, Texas, licensed in Texas (M0050) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1730110651
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ADAIR DEBERRY-CARLISLECredential: D.O.
Location Address630 S FLEISHEL AVETyler, TX 75701-2041
Mailing Address988102 Nebraska Medical CenterOmaha, NE 68198-8102
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2003
Enumeration DateJuly 6, 2006
Last NPPES UpdateJune 2, 20259 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1730110651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in TX · M0050 Licensed in NE · 1974
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 71035-21 (WI), 1974 (NE), 6836 (OK), 007921 (AZ)
630 S FLEISHEL AVE, Tyler, TX 75701

Secondary Practice Locations 5

Location 12500 Bellevue Medical Center DrBellevue, NE 68123 · Phone (402) 763-3410
Location 24007 James Casey St, Suite B-140Austin, TX 78745-3369 · Phone (737) 202-3871
Location 31200 N Beaver StFlagstaff, AZ 86001-3118 · Phone (928) 779-3366
Location 4700 S Park StMadison, WI 53715-1830 · Phone (608) 251-6100 · Fax (608) 260-2976
Location 52701 Hospital DrVictoria, TX 77901-5748 · Phone (361) 582-5771 · Fax (361) 582-5745

Other Identifiers 4

Other8AN626TX · Bcbstx
Medicaid197530202TX
OtherP02531927TX · Medicare Rail Road
Medicaid200908280AOK

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. Adair Deberry-carlisle D.o. 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 ID941373617
PECOS Enrollment IDI20080715000166
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 5

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 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.
98 services55 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services25 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.
24 services24 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.
15 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby 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

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

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
$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
$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.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Acute Care)
630 S FLEISHEL AVE
TYLER, TX 75701
Nurse Practitioner (Acute Care)
630 S FLEISHEL AVE
TYLER, TX 75701
Nurse Practitioner (Acute Care)
630 S FLEISHEL AVE
TYLER, TX 75701
Otolaryngology
630 S FLEISHEL AVE
TYLER, TX 75701
Physician Assistant (Surgical)
630 S FLEISHEL AVE
TYLER, TX 75701
Surgery (Trauma Surgery)
630 S FLEISHEL AVE
TYLER, TX 75701
Nurse Practitioner
630 S FLEISHEL AVE
TYLER, TX 75701
Specialist/Technologist, Other (Surgical Assistant)
630 S FLEISHEL AVE
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 Adair Deberry-carlisle's NPI number?

The NPI number for Adair Deberry-carlisle is 1730110651. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Adair Deberry-carlisle located?

Adair Deberry-carlisle practices at 630 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 606-5560.

What is Adair Deberry-carlisle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Adair Deberry-carlisle enrolled in Medicare?

Yes. Adair Deberry-carlisle 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 Adair Deberry-carlisle accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and CareSource and 6 other insurers list Adair Deberry-carlisle 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 Adair Deberry-carlisle affiliated with any hospitals?

According to CMS data, Adair Deberry-carlisle is affiliated with Baptist Memorial Hospital, Christus Mother Frances Hospital and Christus Mother Frances Hospital Sulphur Springs.

When was this NPI record last updated?

The NPPES record for Adair Deberry-carlisle was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.