Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES R OGBURN JR. MD
NPI 1922088731
Pathology - Anatomic Pathology & Clinical Pathology in Athens, TX

Q: What is James Ogburn's NPI number?

The NPI number for James Ogburn is 1922088731. It was assigned to this individual provider in the NPPES registry on January 18, 2006. The provider is also known as Jim R Ogburn MD.

Q: What is James Ogburn's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for James Ogburn was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.

Active since January 18, 2006PECOS Enrolled

41.36/100

CMS Quality Rating

134 ROSEDALE DR, ATHENS, TX 75751(903) 675-0080(903) 675-0081 Get Directions Write a Review

NPPES record last updated: September 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2026, Mar 9, 2026 (2 updates tracked since 2026).

On this page

About Dr. James R Ogburn Jr. Md NPPES

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

DR. JAMES R OGBURN JR. MD (NPI 1922088731) is an individual anatomic pathology & clinical pathology provider in Athens, Texas, licensed in Texas (J2242) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922088731

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. JAMES R OGBURN JR.Credential: MD

Location Address134 ROSEDALE DRAthens, TX 75751-3625

Mailing Address134 Rosedale DrAthens, TX 75751-3625 · (903) 675-0080 · Fax (903) 675-0081

Phone(903) 675-0080

Fax(903) 675-0081

Sole ProprietorYes

Enumeration DateJanuary 18, 2006

Last NPPES UpdateSeptember 20, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1922088731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TX · J2242

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

134 ROSEDALE DR, Athens, TX 75751

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Other Names 1

Other Name (5)Jim R Ogburn Md

Other Identifiers 3

OtherCL8659TX · Medicare Clinicallab Ptan

Other8AG580TX · Bcbs

Other8F6130TX · Medicare Individual Ptan

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 (PECOS)

Dr. James R Ogburn Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Ogburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Texas Pathology Laboratories, LLC

0.1 mi

Anatomic Pathology & Clinical Pathology

134 ROSEDALE DR
Athens, TX 75751

Reassigned Medicare billing, Texas enrollment

NPI 1154445419 (903) 675-0080

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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,287 services664 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

242 services207 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

195 services140 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

131 services114 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

93 services85 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

69 services54 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

43 services40 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

43 services42 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

35 services28 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

28 services27 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

21 services16 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

19 services18 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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.

41.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

66.01

Improvement Activities

Cost

49.85

Other Providers at the Same Location NPPES 2

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

EASTERN TEXAS PATHOLOGY LABORATORIES, LLC

Pathology (Anatomic Pathology & Clinical Pathology)

134 ROSEDALE DR
ATHENS, TX 75751

Henderson County (903) 675-0080

EAST TEXAS PATHOLOGY LABORATORIES

Pathology (Anatomic Pathology & Clinical Pathology)

134 ROSEDALE DR
ATHENS, TX 75751

Henderson County (903) 675-0080

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 Ogburn's NPI number?

The NPI number for James Ogburn is 1922088731. It was assigned to this individual provider in the NPPES registry on January 18, 2006. The provider is also known as Jim R Ogburn MD.

Where is James Ogburn located?

James Ogburn practices at 134 Rosedale Dr, Athens, TX 75751. The listed phone number is (903) 675-0080.

What is James Ogburn's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Ogburn enrolled in Medicare?

Yes. James Ogburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Ogburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ogburn reassigns Medicare benefits to Eastern Texas Pathology Laboratories, LLC (Athens, TX). The 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 Ogburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ogburn 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 1 other insurer list James Ogburn 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.

When was this NPI record last updated?

The NPPES record for James Ogburn was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.