Dr. James Andrew Hurst , MD
Orthopaedic Surgery โข Lufkin, TX
208 Gaslight Blvd
Lufkin, TX 759043166
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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Dr. James Hurst is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on June 12, 2008; this date does not establish years in practice.
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Published CMS data list 2,314 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 1,264 service units.
- 99213 โ Established patient outpatient office visit: 311 service units.
- 99490 โ Chronic care management services: 221 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 427 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Celecoxib โ 111 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 83 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 62 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Texas (2024, 919 clinicians with data). Median for this group: 1,519. Middle half: 435 to 3,979.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,111 in 2020 to 2,314 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
208 Gaslight Blvd
Lufkin, TX 759043166
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Tyler, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Texas Specialist Center Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2008
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
259 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $94,859 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $67,945 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
429 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
$4,391 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $95.13 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 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, CMS release of October 2, 2026.
NPI first issued
2008
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, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Hurst 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. Hurst 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 Lufkin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Texas (2024, 919 clinicians with data). Median for this group: 1,519. Middle half: 435 to 3,979.
Too few clinicians listed under Orthopaedic Surgery in Lufkin have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Orthopaedic Surgery in Texas (2024, 919 clinicians with data). Median for this group: $92,753. Middle half: $33,221 to $185,843.
Too few clinicians listed under Orthopaedic Surgery in Lufkin have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Orthopaedic Surgery in Texas (2024, 919 clinicians with data). Median for this group: $69,085. Middle half: $24,465 to $138,110.
Too few clinicians listed under Orthopaedic Surgery in Lufkin have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Orthopaedic Surgery in Texas (2024, 920 clinicians with data). Median for this group: 324. Middle half: 139 to 661.
Too few clinicians listed under Orthopaedic Surgery in Lufkin have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Texas (2024, 920 clinicians with data). Median for this group: $2,695. Middle half: $1,001 to $6,758.
Too few clinicians listed under Orthopaedic Surgery in Lufkin have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Orthopaedic Surgery with a practice address in Lufkin, TX (1,521 in Texas).
Addresses are self-reported to NPPES and may be out of date.
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 increased 108% from 1,111 in 2020 to 2,314 in 2024.
- 2020: 1,111
- 2021: 1,652
- 2022: 3,575
- 2023: 2,959
- 2024: 2,314
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Medicare-allowed amount
Medicare-allowed amount increased 66% from $57,014 in 2020 to $94,859 in 2024.
- 2020: $57,014
- 2021: $95,491
- 2022: $124,283
- 2023: $124,345
- 2024: $94,859
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Paid by Medicare
Paid by Medicare increased 62% from $41,980 in 2020 to $67,945 in 2024.
- 2020: $41,980
- 2021: $71,459
- 2022: $93,064
- 2023: $93,506
- 2024: $67,945
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 81% from 236 in 2020 to 427 in 2024.
- 2020: 236
- 2021: 214
- 2022: 294
- 2023: 399
- 2024: 427
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30-day fills
30-day fills increased 82% from 236 in 2020 to 429 in 2024.
- 2020: 236
- 2021: 214
- 2022: 298
- 2023: 402
- 2024: 429
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Part D drug cost
Part D drug cost decreased 24% from $5,748 in 2020 to $4,391 in 2024.
- 2020: $5,748
- 2021: $1,886
- 2022: $2,560
- 2023: $3,863
- 2024: $4,391
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $924.09 in 2019 to $95.13 in 2025.
- 2019: $924.09
- 2020: $12.85
- 2022: $1,200.00
- 2024: $3,904.19
- 2025: $95.13
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 โ December 31, 2025): fewer than 11 records totaling $95.13.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
|
JOURNAVX | General | $95.13 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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1,264 | 103 | $6.35 | $0.99 |
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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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311 | 178 | $227.38 | $86.41 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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221 | 37 | $129.00 | $59.84 |
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20610
Aspiration and/or injection of fluid from large joint
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171 | 103 | $270.86 | $68.84 |
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73560
X-ray of knee, 1-2 views
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93 | 80 | $101.76 | $32.10 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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59 | 55 | $318.24 | $121.12 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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56 | 56 | $326.50 | $106.22 |
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73502
X-ray of hip, 2-3 views
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39 | 36 | $135.51 | $41.88 |
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73030
X-ray of shoulder, minimum of 2 views
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35 | 30 | $113.74 | $32.74 |
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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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30 | 30 | $546.00 | $159.59 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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21 | 15 | $65.00 | $45.74 |
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27447
Replacement of knee joint, both sides of knee
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14 | 14 | $4486.36 | $1223.59 |
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Celecoxib | Celecoxib | 111 | 3,390 | $2,014.98 | 60 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 83 | 583 | $719.64 | 40 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 62 | 427 | $526.05 | 40 |
| Gabapentin | Gabapentin | 35 | 1,025 | $257.91 | โ |
| Mupirocin | Mupirocin | 32 | 359 | $306.03 | 29 |
| Methylprednisolone | Methylprednisolone | 29 | 174 | $239.76 | 27 |
| Tramadol Hcl | Tramadol Hcl | 26 | 255 | $131.43 | 17 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 19 | 130 | $136.68 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 17 | 202 | $44.87 | โ |
| Amoxicillin | Amoxicillin | 13 | 13 | $13.81 | โ |
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
Self-certified to NPPES: 2022-02-24NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20130619000576
TX
9234378449
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Texas Specialist Center Pllc
208 Gaslight Blvd, Lufkin, TX 759043166
Phone: 9366348800
Secondary Practice Locations
3414 Golden Rd
Tyler, TX 757018336
Phone: 9039397500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 208 GASLIGHT BLVD, LUFKIN, TX 759043166 (Tel: 9366348800)
Registered at 208 GASLIGHT BLVD, LUFKIN, TX 759043166 (Tel: 9366308808)
Additional practice office at 3414 Golden Rd, Tyler, TX 757018336
Orthopaedic Surgery (license number reported to NPPES: KS 04-37030)
Orthopaedic Surgery (license number reported to NPPES: TX P6426)
Registered at 3816 N UNIVERSITY DR, NACOGDOCHES, TX 759652011 (Tel: 9363055301)
Registered at 4700 SETON CENTER PKWY, STE 115, AUSTIN, TX 787595753 (Tel: 9363055301)
Registered at 613 RUSSELL BLVD, NACOGDOCHES, TX 759651247 (Tel: 9363055301)
Registered at 613 RUSSELL BLVD, NACOGDOCHES, TX 759651247 (Tel: 9363055301)
NPI status registered as active in NPPES database
Registered at 20920 W 151ST ST, SUITE 100, OLATHE, KS 660617247 (Tel: 9137821148)
Registered at 20920 W 151ST ST, SUITE 100, OLATHE, KS 660617247 (Tel: 9137821148)
Recorded as JAMES HURST, MD
Orthopaedic Surgery (license number reported to NPPES: KS 04-37030)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Lufkin
- Dr. Daniel Fuentes, DO
- Dr. Roy Guse, MD
- Dr. Kristopher Mccall, MD
- Dr. Jason Carter, MD
- Dr. Peter Ross, MD
Mailing Address
208 Gaslight Blvd
Lufkin, TX 759043166
Phone: 9366308808