NPIMap

Individual provider Active NPI

Jason D Carter, MD

  • Orthopaedic Surgery Physician
  • Lufkin, TX
National Provider Identifier
1063447407
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N1575 Issued in TX
Practice address
208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone
(936) 634-8800
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N1575 TX Primary

Addresses

Primary practice location

208 Gaslight Blvd
Lufkin, TX 75904-3166

Mailing address

208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 634-8800

Other identifiers 1

IdentifierTypeStateIssuer
203350801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060801000439 TX Practitioner - Orthopedic Surgery 5294748661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialist Center PLLCGroup PAC ID 2163557026, 9 clinicians
Doctx1 PLLCGroup PAC ID 6002124765, 5 clinicians

Practice addresses (Care Compare)

208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 634-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)35
Upper limb (arm) arthroscopy (minimally invasive joint repair)65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated MRI Center, PLLC CurrentSince Sep 4, 2018 Accepting new patients
Texas Specialist Center, PLLC Orthopaedic Surgery CurrentSince Jan 15, 2010 Accepting new patients
Dmctx1, PLLC PastSince Feb 1, 2019 Accepting new patients

Locations

208 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-0062

208 Gaslight Blvd
Ste C
Lufkin, TX 75904
Phone (936) 632-6510

208 Gaslight Blvd
Ste B
Lufkin, TX 75904
Phone (936) 630-8808

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dedicated Home HealthLufkin, TX, CCN 457702 Home health agency 5% Or Greater Indirect Ownership Interest (16.67%) Sep 13, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1063447407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-634-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-634-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203350801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.