JAMES EDWARD LUSBY (MD) – Gastroenterology Physician, NPI 1003851510
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,498 GASTROENTEROLOGY in TX
Provider Addresses for JAMES EDWARD LUSBY (MD)
6700 W 9th Ave
Amarillo, TX 791061729
Phone: (806) 358-0200
Fax: (806) 356-5590
Type: Location
9th Avenue, Amarillo, Potter County, Texas, 79116, United States
AMARILLO, TX 791061729
Phone: (806) 358-0200
Fax: (806) 356-5590
Type: Location
PO BOX 840020
DALLAS, TX 752840020
Phone: (806) 358-0200
Fax: (806) 356-5590
Type: Mailing
1600 S COULTER ST STE B
AMARILLO, TX 791060703
Phone: (806) 358-0200
Fax: (806) 356-5590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $2,275.
Total Amount is formed as General ($2,275) + Research ($0) + Ownership ($0) = $2,275.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($998).
Total Amount
$2,275
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $998 |
| Takeda Pharmaceuticals U.S.A., Inc. | $381 |
| Janssen Biotech, Inc. | $212 |
| PFIZER INC. | $129 |
| GENZYME CORPORATION | $70 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060811000099 | I | Gastroenterology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 198 | 191 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 155 | 152 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 148 | 147 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 91 | 59 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 82 | 82 | $0 |
Insurance plans in this area (ZIP 79106)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Physician Assistant | TX | |
| Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Pulmonary Disease | TX |
Reviews
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