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JAMES ANTONIO FRASER MD
NPI 1790219186
Surgery in Tyler, TX

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
700 OLYMPIC PLAZA CIR STE 508, TYLER, TX 75701(903) 595-6680(903) 592-1934 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2025, Jul 30, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2017).

About James Antonio Fraser Md NPPES

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

JAMES ANTONIO FRASER MD (NPI 1790219186) is an individual surgery provider in Tyler, Texas, licensed in Texas (W1415) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Un Of California, Irvine, College Of Medicine (2024).

NPPES Registry Identity

NPI1790219186
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES ANTONIO FRASERCredential: MD
Location Address700 OLYMPIC PLAZA CIR STE 508Tyler, TX 75701-1952
Mailing Address700 Olympic Plaza Cir Ste 508Tyler, TX 75701-1952 · (903) 595-6680 · Fax (903) 592-1934
Phone(903) 595-6680
Fax(903) 592-1934
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2024
Enumeration DateApril 12, 2017
Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1790219186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · W1415✔ Licensed in CA · 194300
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.
700 OLYMPIC PLAZA CIR STE 508, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

James Antonio Fraser 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 ID8123393121
PECOS Enrollment IDI20251113001573
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Fraser reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Etmc Physician Group Inc.
0.1 mi
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group
NPI 1609382662 (903) 590-5611
University Surgeons Of Orange A Medical Group
1,312 mi
Surgery
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 180 clinicians in this Medicare group
NPI 1407806904 (714) 456-7212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson 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 7

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

ANDREA C COOLEY D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680
GHULAM ABBAS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680
DR. WENDELL S PHILLIPS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680
DR. RAMACHANDRA C REDDY M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680
KRISTEN R MARTIN MSN-NP
Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680
DR. JUAN FILEMON ZUNIGA AGAC-DNP
Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680
SARA LOUISE HEDGES
Physician Assistant
700 OLYMPIC PLAZA CIR STE 508
TYLER, TX 75701
Smith County (903) 595-6680

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 James Fraser's NPI number?

The NPI number for James Fraser is 1790219186. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is James Fraser located?

James Fraser practices at 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701. The listed phone number is (903) 595-6680.

What is James Fraser's specialty?

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

Is James Fraser enrolled in Medicare?

Yes. James Fraser 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 James Fraser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fraser reassigns Medicare benefits to 2 organizations: Etmc Physician Group Inc. (Tyler, TX) and University Surgeons Of Orange A Medical Group (Orange, CA). 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 James Fraser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fraser accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list James Fraser 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 James Fraser affiliated with any hospitals?

According to CMS data, James Fraser is affiliated with Ut Health East Texas Tyler Regional Hospital and Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for James Fraser was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.