DR. ADAIR DEBERRY-CARLISLE D.O.
NPI 1730110651
Surgery in Tyler, TX
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
Specialties & Licenses 3
Secondary Practice Locations 5
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Adair Deberry-carlisle reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Citizens Medical Center County Of Victoria
- 171 clinicians in this Medicare group
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Omaha, NE 68198
- Reassigned Medicare billing, Nebraska enrollment
- 2,154 clinicians in this Medicare group
Knoxville, TN 37919
- Reassigned Medicare billing, Tennessee enrollment
- 52 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 701 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Memorial Hospital
Acute Care Hospitals · Memphis, TNChristus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXPhysician 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.
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.
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.
Which organizations bill Medicare for Adair Deberry-carlisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adair Deberry-carlisle reassigns Medicare benefits to 8 organizations: Christus Trinity Clinic Texas (Tyler, TX), Citizen's Medical Center County Of Victoria (Victoria, TX), Alegent Creighton Clinic (Omaha, NE), Unmc Physicians (Omaha, NE), Premier Surgical Associates, PLLC (Knoxville, TN) and 3 more organizations, listed in the Medicare section above. 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 Adair Deberry-carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adair Deberry-carlisle accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, CareSource and Cigna Healthcare and 5 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 and Christus Mother Frances Hospital.
When was this NPI record last updated?
The NPPES record for Adair Deberry-carlisle was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Dr. Adair Deberry-Carlisle, D.O. · NPI 1730110651
Surgery physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1730110651 (Entity type: Individual)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** M0050 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 630 S FLEISHEL AVE, Tyler, TX 75701-2041
- **Phone:** (903) 606-5560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Citizen's Medical Center County Of Victoria (NPI 1205242088, Victoria, TX); Alegent Creighton Clinic (NPI 1548287907, Omaha, NE); Unmc Physicians (NPI 1417912114, Omaha, NE); Premier Surgical Associates, PLLC (NPI 1750449443, Knoxville, TN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2003
## Record status
- **NPPES last updated:** October 14, 2026
- **Other identifiers:** Medicaid 200908280A (OK); Other P02531927 (TX); Other 8AN626 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1730110651) · Data from the CMS NPPES public registry.