Individual provider Active NPI

George L Deloach, DO

  • Orthopaedic Surgery Physician
  • Livingston, TX
National Provider Identifier
1942288451
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H9881 Issued in TX
Practice address
403 Ogletree Dr Ste 100
Livingston, TX 77351-9444
Phone
(936) 755-3238
Fax
(936) 755-3249
NPI assigned
Jan 4, 2006
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 H9881 TX Primary

Addresses

Primary practice location

403 Ogletree Dr Ste 100
Livingston, TX 77351-9444

Mailing address

PO Box 337
Livingston, TX 77351-0006
Phone (936) 327-9222

Other identifiers 3

IdentifierTypeStateIssuer
035937402MedicaidTX
8AJ864OtherTXBLUE CROSS BLUE SHEILD
200035071OtherMEDICARE RR/PALMETTO GBA

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
I20040622001212 TX Practitioner - Orthopedic Surgery 5799760849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialist Center PLLCGroup PAC ID 2163557026, 9 clinicians

Practice addresses (Care Compare)

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

403 Ogletree Dr
Suite 100
Livingston, TX 77351-9444
Phone (936) 327-9222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as individual
Quality
76.96
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)25
Upper limb (arm) arthroscopy (minimally invasive joint repair)63
Removal of tissue31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Specialist Center, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients

Locations

400 Bypass Ln
Ste 112
Livingston, TX 77352
Phone (281) 318-2043

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

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

Interoperability endpoints

  • Direct secure messaging: gdeloach@docet.emadirect.md

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 2

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

Hospital & facility affiliations 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1942288451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510006",
            "telephone_number": "936-327-9222",
            "fax_number": "936-327-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-755-3238",
            "fax_number": "936-755-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "GEORGE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H9881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035937402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "8AJ864",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR/PALMETTO GBA",
            "identifier": "200035071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.