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JAMES HARRY PHELAN M.D.
NPI 1811921448
Family Medicine in Kingwood, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
23330 HIGHWAY 59 N STE 300, KINGWOOD, TX 77339(281) 359-3223(281) 359-2089 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2022, Oct 8, 2020, May 25, 2017 (3 updates tracked since 2017).

About James Harry Phelan M.d. NPPES

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

JAMES HARRY PHELAN M.D. (NPI 1811921448) is an individual family medicine provider in Kingwood, Texas, licensed in Texas (E2786) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of Baylor College Of Medicine (1974).

NPPES Registry Identity

NPI1811921448
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES HARRY PHELANCredential: M.D.
Location Address23330 HIGHWAY 59 N STE 300Kingwood, TX 77339-4471
Mailing Address23330 Highway 59 N Ste 300Kingwood, TX 77339-4471 · (281) 359-3223 · Fax (281) 359-2089
Phone(281) 359-3223
Fax(281) 359-2089
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1974
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 29, 20243 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1811921448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E2786
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23330 HIGHWAY 59 N STE 300, Kingwood, TX 77339
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Other Identifiers 1

Other0067EYTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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 Harry Phelan M.d. 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 ID6507030590
PECOS Enrollment IDI20111201000563
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 8

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.
427 services233 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.
194 services139 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
121 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
86 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers30 claims79 services$5.09 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims32 services$1.75 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 3

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

VYTALUS MEDICAL GROUP, PLLC
Family Medicine
23330 HIGHWAY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
MR. MARCUS SEVIER P.A.-C
Physician Assistant
23330 HIGHWAY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223
AMANDA B NEILL FNP
Nurse Practitioner (Family)
23330 HIGHWAY 59 N STE 300
KINGWOOD, TX 77339
Harris County (281) 359-3223

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 Phelan's NPI number?

The NPI number for James Phelan is 1811921448. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is James Phelan located?

James Phelan practices at 23330 Highway 59 N Ste 300, Kingwood, TX 77339. The listed phone number is (281) 359-3223.

What is James Phelan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Phelan enrolled in Medicare?

Yes. James Phelan 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 Phelan accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list James Phelan 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 Phelan affiliated with any hospitals?

According to CMS data, James Phelan is affiliated with Memorial Hermann Northeast Hospital, Tops Surgical Specialty Hospital and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for James Phelan was last updated on May 29, 2024. 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.