Individual provider Active NPI

Jerry Wayne Lewis, MD

  • Pain Medicine (Anesthesiology) Physician
  • Frisco, TX
National Provider Identifier
1124005152
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
H8208 Issued in TX
Practice address
11500 State Highway 121 Ste 810
Frisco, TX 75035-9347
Phone
(214) 618-9622
Fax
(833) 753-1061
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X H8208 TX Primary

Addresses

Primary practice location

11500 State Highway 121 Ste 810
Frisco, TX 75035-9347

Mailing address

11500 State Highway 121 Ste 810
Frisco, TX 75035-9347
Phone (214) 618-9600

Other identifiers 6

IdentifierTypeStateIssuer
137545313MedicaidTX
8A4769OtherTXBCBS
137545314MedicaidTX
137545316MedicaidTX
137545311MedicaidTX
137545315MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Frisco JERRY W. LEWIS MD PA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000608 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9335183110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jerry W. Lewis MD PAGroup PAC ID 8123301785, 3 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

11500 State Hwy 121
Suite 810
Frisco, TX 75035-9347
Phone (214) 618-9600

2710 N Josey LN
301 Green Oaks Carrollton
Carrollton, TX 75007-5400
Phone (469) 701-9108

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
19.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLPM Anesthesia PLLC Current Accepting new patients
Novo Wellness, PA Pain Medicine Current Accepting new patients

Locations

5757 Warren Pkwy
Ste 110
Frisco, TX 75034
Phone (214) 618-9600

Organizations & group practices 3

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 1

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1124005152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 810",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "214-618-9600",
            "fax_number": "214-618-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 810",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359347",
            "telephone_number": "214-618-9622",
            "fax_number": "833-753-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H8208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137545313",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A4769",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137545314",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137545316",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137545311",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137545315",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Frisco",
            "affiliation": "Y",
            "affiliationName": "JERRY W. LEWIS MD PA",
            "address_1": "11500 State Highway 121 Ste 810",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750359347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.