1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Ophthalmology
  6. NPI Profile

JAMES HANSEL MERRITT III MD
NPI 1801850763
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Dallas, TX

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8230 WALNUT HILL LN, SUITE 508, DALLAS, TX 75231(214) 369-0555(214) 363-6759 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2020, May 18, 2020, Mar 12, 2020 (3 updates tracked since 2020).

About James Hansel Merritt Iii Md NPPES

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

JAMES HANSEL MERRITT III MD (NPI 1801850763) is an individual ophthalmic plastic and reconstructive surgery provider in Dallas, Texas, licensed in Texas (F1817) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Institute For Surgery At Presbyterian Hospit, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801850763
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameJAMES HANSEL MERRITT IIICredential: MD
Location Address8230 WALNUT HILL LN, SUITE 508Dallas, TX 75231-4482
Mailing Address8230 Walnut Hill Ln, Suite 508Dallas, TX 75231-4482 · (214) 369-0555 · Fax (214) 363-6759
Phone(214) 369-0555
Fax(214) 363-6759
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1978
Enumeration DateApril 17, 2006
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1801850763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in TX · F1817
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License F1817 (TX)
8230 WALNUT HILL LN, Dallas, TX 75231
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11625 N US Highway 75Sherman, TX 75090-2815 · Phone (214) 369-0555 · Fax (214) 363-6759
Location 21708 Coit Rd Ste 200Plano, TX 75075-5025 · Phone (214) 369-0555 · Fax (214) 363-6759

Other Identifiers 1

Medicaid120239203TX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Hansel Merritt Iii 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 ID1052370624
PECOS Enrollment IDI20090402000109
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 7

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.

Injection, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
5,270 services16 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.
98 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
82 services82 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
49 services48 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
47 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Texas Institute For Surgery At Presbyterian Hospit

Acute Care Hospitals · Dallas, TX
OwnershipPhysician
CMS Certification Number450889
Location7115 Greenville Avenue Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers40 claims40 services$63.79 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 20

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

AMARDEEP K GILL NP
Registered Nurse (Pain Management)
8230 WALNUT HILL LN, STE 320
DALLAS, TX 75231
Dallas County (214) 265-9991
PETER D HINO M.D.
Dermatology
8230 WALNUT HILL LN, SUITE 500
DALLAS, TX 75231
Dallas County (214) 739-5821
SCOTT ZASHIN MD
Specialist
8230 WALNUT HILL LN, SUITE 818
DALLAS, TX 75231
Dallas County (214) 363-2812
SOUTHWEST INFUSION, LLC
Internal Medicine (Rheumatology)
8230 WALNUT HILL LN, SUITE 614
DALLAS, TX 75231
Dallas County (469) 916-0677
NEUROLOGIC MONITORING LLP
Specialist/Technologist, Other (Electroneurodiagnostic)
8230 WALNUT HILL LN, SUITE 220
DALLAS, TX 75231
Dallas County (214) 445-6938
DR. HOMA JACKSON PORTER II M.D.
Urology
8230 WALNUT HILL LN, SUITE 700
DALLAS, TX 75231
Dallas County (214) 691-1902
JOHN WESLEY NORMAN PA-C
Physician Assistant
8230 WALNUT HILL LN
DALLAS, TX 75231
Dallas County (214) 645-2300
AZADEH NAMIRANIAN PA-C
Physician Assistant (Medical)
8230 WALNUT HILL LN, SUITE 610
DALLAS, TX 75231
Dallas County (214) 345-7398

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 Merritt's NPI number?

The NPI number for James Merritt is 1801850763. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is James Merritt located?

James Merritt practices at 8230 Walnut Hill Ln Suite 508, Dallas, TX 75231. The listed phone number is (214) 369-0555.

What is James Merritt's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is James Merritt enrolled in Medicare?

Yes. James Merritt 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 James Merritt 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 3 other insurers list James Merritt 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 Merritt affiliated with any hospitals?

According to CMS data, James Merritt is affiliated with Texas Institute For Surgery At Presbyterian Hospit.

When was this NPI record last updated?

The NPPES record for James Merritt was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.