Active NPI
Bobby I Pierson, PA
- Physician Assistant
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04240
- Practice address
- 3601 4TH St
Suite 3A105
Lubbock, TX 79430-8103 - Phone
- (806) 743-2391
- Fax
- (806) 743-5687
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04240 | TX | Primary |
Addresses
Primary practice location
3601 4TH St
Suite 3A105
Lubbock, TX 79430-8103
Mailing address
3601 4TH St # Ms 8321
Lubbock, TX 79430-8321
Phone (806) 743-3849
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202006417 | Medicaid | NM | |
| 183145501 | Medicaid | TX | |
| 200081390A | Medicaid | OK | |
| 202006417 | Other | NM | PRESBYTERIAN COMMERCIAL |
| 135127100 | Other | TX | FIRSTCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TTUneuro@direct.myteamcare.com | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3601 4TH St
Lubbock, TX 79430-0002
3601 4TH St
Lubbock, TX 79430-8321
Phone (806) 743-2391
4000 24TH St
Lubbock, TX 79410-1894
Phone (806) 743-2373
4002 24TH St
Lubbock, TX 79410-1894
Phone (806) 743-1501
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients |
Locations
4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
3601 4th St
Ste 3A105
Lubbock, TX 79430
Phone (806) 743-2391
3601 4th St
Fl 3
Lubbock, TX 79430
Phone (806) 743-2340
3601 4th St
Stop 8321
Lubbock, TX 79430
Phone (806) 743-2391
Interoperability endpoints
- bob.pierson@direct.myteamcare.com
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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Neurology Physician
- Lubbock, TX
- NPI 1518916808
-
- Psychiatry Physician
- Lubbock, TX
- NPI 1881643179
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1295775229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH ST # MS 8321",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794308321",
"telephone_number": "806-743-3849",
"fax_number": "806-743-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 4TH ST",
"address_2": "SUITE 3A105",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794308103",
"telephone_number": "806-743-2391",
"fax_number": "806-743-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "BOBBY",
"middle_name": "I",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202006417",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183145501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200081390A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "202006417",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "135127100",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TTUneuro@direct.myteamcare.com",
"affiliation": "N",
"endpointDescription": "Neurology",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3601 4th St",
"address_2": "Suite 3A105",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794308103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.