DR. JAMES S DISTEFANO (DO) – Sports Medicine (Emergency Medicine) Physician, NPI 1457324782

DR. JAMES S DISTEFANO (DO) is a healthcare provider. based in Bryan, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE, GENERAL PRACTICE, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. M7149 (TX). The NPI Number for DR. JAMES S DISTEFANO (DO) is 1457324782

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES S DISTEFANO (DO)
NPI
1457324782
Phone
(979) 704-5029
Address
3201 UNIVERSITY DR E STE 320
Enumeration Date
8 February 2006
Last Update Date
10 October 2018

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9797045029
Graduation Year
1992 (34 years ago)
PAC ID
3577585181
Group Practice PAC ID
1052604006
Professional Enrollment ID
I20070828000439
Address ID
TX778023478BR3201XEXXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. JAMES S DISTEFANO (DO)

  • University Drive East, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778023478

    Phone: (979) 704-5029

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($102).

Total Amount

$138

General + Research + Ownership

Payments

6

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-08-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070828000439IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes314171$0
20610Aspiration and/or injection of fluid from large joint8952$0
99203New patient office or other outpatient visit, 30-44 minutes8787$0
73560X-ray of knee, 1-2 views8468$0
J1030Injection, methylprednisolone acetate, 40 mg7744$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

DR. JAMES S DISTEFANO (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX73110X-ray of wrist, minimum of 3 views3519
FAMILY MEDICINETX73562X-ray of knee, 3 views1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052604006View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Hand SurgeryND
Physician AssistantTX
-TX
General SurgeryTX
Orthopedic Surgery, Sports MedicineTX
Pediatric MedicineTX
Family PracticeTX
Family PracticeTX
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

Is DR. JAMES S DISTEFANO (DO) listed with a National Provider Identifier?
Yes — DR. JAMES S DISTEFANO (DO) has NPI 1457324782 on file in the registry.
Is there an active status for DR. JAMES S DISTEFANO (DO)?
For scheduling context, DR. JAMES S DISTEFANO (DO) is shown as active in the registry.
What clinical focus is listed for DR. JAMES S DISTEFANO (DO)?
At a glance, DR. JAMES S DISTEFANO (DO) is tied to Sports Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. JAMES S DISTEFANO (DO) associated with Bryan?
Public fields place DR. JAMES S DISTEFANO (DO) around Bryan, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. JAMES S DISTEFANO (DO) is noted as February 8, 2006 where the registry provides it.

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