Dr. Paul Jerrall James , MD
Surgery • Houston, TX
2101 Crawford St, Suite 304
Houston, TX 770028942
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 9, 2006; this date does not establish years in practice.
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Published CMS data list 172 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 63 service units.
- 99213 — Established patient outpatient office visit: 59 service units.
- 99213 — Established patient outpatient office visit: 29 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 140 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 41 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) — 34 prescription fills, including refills.
- Santyl (Collagenase Clostridium Hist.) — 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 75% of clinicians listed under Surgery in Houston, TX (2024, 116 clinicians with data). Median for this group: 61. Middle half: 22 to 119.
More Part D prescriptions than 70% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: 70. Middle half: 31 to 145.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 169 in 2017 to 172 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
2101 Crawford St
Suite 304
Houston, TX 770028942
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Meharry Medical College School Of Medicine
1986
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $15,756 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
Paid by Medicare
About $12,295 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.
30-day fills
140 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$27,758 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $223.09 across 10 records.
By nature of payment
- Food and Beverage: $223.09 across 10 records.
Reporting-company totals (3 largest of 4)
- Smith+Nephew, Inc.: $145.67 across 6 records.
- Organogenesis Inc.: $43.03 across 2 records.
- Solventum Corporation: $19.83 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
40 years (graduated 1986)
CMS Doctors and Clinicians data list 1986 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. James has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. James as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Surgery in Houston, TX (2024, 116 clinicians with data). Median for this group: 61. Middle half: 22 to 119.
More Part D prescriptions than 70% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: 70. Middle half: 31 to 145.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Surgery in Houston, TX (2024, 116 clinicians with data). Median for this group: $485. Middle half: $111 to $2,039.
A higher Part D drug cost than 90% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: $502. Middle half: $180 to $1,728.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. James are from 2019.
354 active clinicians are listed under Surgery with a practice address in Houston, TX (2,193 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
13.3% of these 354 clinicians have the CMS telehealth indicator.
62.4% of these 354 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 169 in 2017 and 172 in 2019.
- 2017: 169
- 2018: 170
- 2019: 172
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $16,894 in 2017 and $15,756 in 2019.
- 2017: $16,894
- 2018: $15,990
- 2019: $15,756
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Paid by Medicare
Paid by Medicare stayed about the same: $13,225 in 2017 and $12,295 in 2019.
- 2017: $13,225
- 2018: $12,714
- 2019: $12,295
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 52% from 292 in 2020 to 140 in 2024.
- 2020: 292
- 2021: 195
- 2022: 198
- 2023: 161
- 2024: 140
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30-day fills
30-day fills decreased 52% from 292 in 2020 to 140 in 2024.
- 2020: 292
- 2021: 207
- 2022: 213
- 2023: 174
- 2024: 140
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Part D drug cost
Part D drug cost decreased 65% from $80,315 in 2020 to $27,758 in 2024.
- 2020: $80,315
- 2021: $85,829
- 2022: $61,802
- 2023: $72,085
- 2024: $27,758
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $100.71 in 2021 to $223.09 in 2025.
- 2021: $100.71
- 2022: $291.06
- 2023: $319.40
- 2024: $56.01
- 2025: $223.09
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $223.09.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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COLLAGENASE SANTYL | General | $47.43 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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STRAVIX PL | General | $36.65 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
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APLIGRAF | General | $28.13 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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RENASYS TOUCH | General | $21.32 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
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ACTIV.A.C. | General | $19.83 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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RENASYS TOUCH | General | $19.25 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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GRAFIX PL | General | $16.23 |
| Organogenesis Inc. |
Food and Beverage
In-kind items and services
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APLIGRAF | General | $14.90 |
| Kerecis Limited |
Food and Beverage
Cash or cash equivalent
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Kerecis SurgiClose | General | $14.56 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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COLLAGENASE SANTYL | General | $4.79 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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63 | 20 | $200.00 | $105.34 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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59 | 23 | $200.00 | $56.11 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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29 | 13 | $200.00 | $51.77 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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21 | 21 | $300.00 | $205.11 |
Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 41 | 312 | $408.85 | 23 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 34 | 385 | $604.00 | 16 |
| Santyl | Collagenase Clostridium Hist. | 27 | 737 | $26,369.17 | 13 |
| Levofloxacin | Levofloxacin | 19 | 196 | $187.76 | 13 |
| Clindamycin Hcl | Clindamycin Hcl | 19 | 193 | $188.35 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20100303000620
TX
2769527670
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Rehabilitation Practitioner
Doctor of Medicine (M.D.)
Rehabilitation Practitioner
Doctor of Medicine (M.D.)
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History
NPI enumerated January 09, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery Specialists in Houston
- Dr. Uri Gedalia, MD
- Seeyuen Lee
- Colleen Reeves, ANP
- Dr. Sheilendra Mehta, MD
- Dr. Terry Scarborough, MD
- Dr. Christopher Scally, MD
Mailing Address
2101 Crawford St, Suite 304
Houston, TX 770028942
Phone: 7136591728