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DR. JAMES ERICH CAWLEY M.D.
NPI 1942265871
Obstetrics & Gynecology in Comanche, TX

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
10201 HIGHWAY 16, COMANCHE, TX 76442(254) 879-4900(254) 879-3345 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2025, Feb 28, 2022, Jun 7, 2021 and 1 more (4 updates tracked since 2016).

About Dr. James Erich Cawley M.d. NPPES

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

DR. JAMES ERICH CAWLEY M.D. (NPI 1942265871) is an individual obstetrics & gynecology provider in Comanche, Texas, licensed in Texas (G4902) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stephenville, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1942265871
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES ERICH CAWLEYCredential: M.D.
Location Address10201 HIGHWAY 16Comanche, TX 76442-4462
Mailing Address10201 Highway 16Comanche, TX 76442-4462 · (254) 879-4900 · Fax (254) 879-3345
Phone(254) 879-4900
Fax(254) 879-3345
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 20, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1942265871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · G4902
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10201 HIGHWAY 16, Comanche, TX 76442
Open in Google Maps ↗

Secondary Practice Location 1

Location 1725 N Graham St Ste 4Stephenville, TX 76401-3100 · Phone (254) 965-1156

Other Identifiers 1

Medicaid122870203TX

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

Dr. James Erich Cawley 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 ID5496910267
PECOS Enrollment IDI20120702000212
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

6

Medicare enrollment records show James Cawley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comanche County Medical Center Company
Same address
Critical Access
10201 HIGHWAY 16
Comanche, TX 76442
  • Reassigned Medicare billing, Texas enrollment
  • 100 clinicians in this Medicare group
NPI 1346544616 (254) 879-4900
Hood Medical Group
54 mi
Family Medicine
1310 PALUXY RD
Granbury, TX 76048
  • Reassigned Medicare billing, Texas enrollment
  • 78 clinicians in this Medicare group
NPI 1225096472 (817) 579-3924
Texas Health Physicians Group
88 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300
Arlington Physician Services PA
95 mi
Obstetrics & Gynecology
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
NPI 1093144610 (682) 242-2000
Obhg Texas Holdings, P.A.
120 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Pediatrix Medical Group Of Texas Billing, Inc.
236 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

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

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.
56 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76442 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
$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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

PETER G FAGAN MD PA
Family Medicine
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4900
MARY KACI JONES PHARM.D.
Pharmacist
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4980
MRS. JENNIFER ROBYN MCGINNIS FNP
Nurse Practitioner (Family)
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4900
COMANCHE COUNTY MEDICAL CENTER
Ambulance
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4900
COMANCHE COUNTY MEDICAL CENTER COMPANY
Clinic/Center (Rural Health)
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4910
COMANCHE COUNTY MEDICAL CENTER COMPANY
Emergency Medicine
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4900
DOCTORS MEDICAL CENTER CLINIC
Family Medicine
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4910
CISSY WARD LCSW
Social Worker (Clinical)
10201 HIGHWAY 16
COMANCHE, TX 76442
Comanche County (254) 879-4910

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 Cawley's NPI number?

The NPI number for James Cawley is 1942265871. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is James Cawley located?

James Cawley practices at 10201 Highway 16, Comanche, TX 76442. The listed phone number is (254) 879-4900.

What is James Cawley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Cawley enrolled in Medicare?

Yes. James Cawley 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 Cawley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Cawley reassigns Medicare benefits to 6 organizations: Comanche County Medical Center Company (Comanche, TX), Hood Medical Group (Granbury, TX), Texas Health Physicians Group (Fort Worth, TX), Arlington Physician Services PA (Mansfield, TX), Obhg Texas Holdings, P.A. (Austin, TX) and 1 more organization, listed in the Medicare section above. 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 Cawley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Cawley 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 3 other insurers list James Cawley 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 Cawley was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.