Individual provider Active NPI

James Wilcox Mason, MD

  • Dermatology Physician
  • Waco, TX
National Provider Identifier
1699763375
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E8697 Issued in TX
Practice address
405 Londonderry
Ste 205
Waco, TX 76712-7924
Phone
(254) 772-9004
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E8697 TX
Dermatology Physician 207N00000X E8697 TX Primary

Addresses

Primary practice location

405 Londonderry
Ste 205
Waco, TX 76712-7924

Mailing address

405 Londonderry
Ste 205
Waco, TX 76712-7924
Phone (254) 772-9004

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
I20080728000643 TX Practitioner - Dermatology 8729152541 Reassigns benefits to 1 organization
Practice locations: Waco, TX

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions950
Removal or shaving of skin growth1-10
Skin biopsy37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Nov 2, 2015 Accepting new patients
Nocturna of Waco LP PastSince Nov 2, 2015 Accepting new patients
Academy Dermatologists Group LLC Dermatology Past Accepting new patients

Locations

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

7106 Sanger Rd
Woodway, TX 76712
Phone (254) 537-1265

Interoperability endpoints

  • Direct secure messaging: james.mason@epiphanyderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1699763375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY",
            "address_2": "STE 205",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127924",
            "telephone_number": "254-772-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY",
            "address_2": "STE 205",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127924",
            "telephone_number": "254-772-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JAMES",
        "middle_name": "WILCOX",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E8697",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E8697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.