JOHN PATRICK LAVERY MD
NPI 1740239227
Internal Medicine - Rheumatology in Allen, TX

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1105 CENTRAL EXPY N, 230, ALLEN, TX 75013(972) 747-0709(972) 747-7991 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Patrick Lavery Md NPPES

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

JOHN PATRICK LAVERY MD (NPI 1740239227) is an individual rheumatology provider in Allen, Texas, licensed in Texas (H7453) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1740239227
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOHN PATRICK LAVERYCredential: MD
Location Address1105 CENTRAL EXPY N, 230Allen, TX 75013-6103
Mailing AddressPo Box 18025Belfast, ME 04915-4075 · (972) 747-0709 · Fax (972) 747-7991
Fax(972) 747-7991
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 22, 2019
NPI 1740239227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · H7453
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1105 CENTRAL EXPY N, Allen, TX 75013

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

John Patrick Lavery Md 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 ID749204055
PECOS Enrollment IDI20091116000245
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 13

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.

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.
1,012 services451 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
440 services290 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
216 services110 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.
143 services116 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
137 services54 patients
Testing of autonomic nervous system function and heart rate response to deep breathing 95921
This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.
133 services133 patients

Hospital Affiliations CMS Care Compare 2

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.6
Improvement Activities40
Cost62.64

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
26%1,019 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
47%150 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
92%342 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%5,007 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%2,267 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
67%2,134 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%4,503 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,536 patients
0%1,536 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
66%355 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 866 patients
Patients totalRate: 5% · 878 patients
4%878 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist
1105 CENTRAL EXPY N, SUITE 2230
ALLEN, TX 75013
Anesthesiology
1105 CENTRAL EXPY N
ALLEN, TX 75013
Family Medicine
1105 CENTRAL EXPY N, STE 110
ALLEN, TX 75013
Orthopaedic Surgery
1105 CENTRAL EXPY N, STE 120
ALLEN, TX 75013
Nurse Practitioner (Neonatal, Critical Care)
1105 CENTRAL EXPY N
ALLEN, TX 75013
Physical Therapist
1105 CENTRAL EXPY N
ALLEN, TX 75013
Pediatrics
1105 CENTRAL EXPY N, SUITE 320
ALLEN, TX 75013
Nurse Anesthetist, Certified Registered
1105 CENTRAL EXPY N, 100
ALLEN, TX 75013

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 Lavery's NPI number?

The NPI number for John Lavery is 1740239227. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is John Lavery located?

John Lavery practices at 1105 Central Expy N 230, Allen, TX 75013. The listed phone number is (972) 747-0709.

What is John Lavery's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is John Lavery enrolled in Medicare?

Yes. John Lavery 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 Lavery accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list John Lavery 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 John Lavery affiliated with any hospitals?

According to CMS data, John Lavery is affiliated with Texoma Medical Center and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for John Lavery was last updated on October 22, 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.