Active NPI 1619539103 Individual Practitioner Male Practitioner

James Pickens , APRN FNP-C

Nurse Practitioner - Family • Buffalo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Pickens, APRN FNP-C is a certified Nurse Practitioner - Family practicing in Buffalo, TX. With approximately 7 years of clinical experience since completing medical education in 2019, James Pickens delivers high-quality medical care to the local community at 1686 W US HIGHWAY 79.

James Pickens is affiliated with Buffalo Family Practice Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1686 W Us Highway 79

Buffalo, TX 758313490

Telephone 9033221290

Fax 9033221304

Associated Practice Facility / Clinic

🏢 Mexia Principal Healthcare Limited Partnership Facility NPI 1376096263

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Buffalo, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs +2.2 yrs vs City Avg

City Avg: 4.8 Yrs

State Avg: 8.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Buffalo, TX (21454 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickens (7 Years) 7 Yrs

Buffalo Specialty Average (4.8 Years) 4.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	145	$144.00	$73.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg	209	21	$13.09	$0.11
36415 Insertion of needle into vein for collection of blood sample	118	84	$30.00	$8.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	24	$44.00	$18.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	28	$45.00	$11.58
87804 Detection test by immunoassay with direct visual observation for influenza virus	35	18	$45.00	$16.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	31	21	$20.00	$1.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$210.00	$90.60
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	20	$60.00	$34.62
81000 Manual urinalysis test with examination using microscope, non-automated	20	19	$30.00	$3.94
J1010 Injection, methylprednisolone acetate, 1 mg	18	15	$25.00	$0.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$226.00	$105.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$70.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	161	$144.00	$73.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	184	29	$15.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	160	101	$30.00	$8.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	34	$45.00	$11.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$210.00	$91.37
87804 Detection test by immunoassay with direct visual observation for influenza virus	37	22	$45.00	$16.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	29	$21.82	$1.64
J1030 Injection, methylprednisolone acetate, 40 mg	32	28	$25.00	$7.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	27	$44.00	$18.83
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	26	$60.00	$34.62
81000 Manual urinalysis test with examination using microscope, non-automated	24	19	$30.00	$3.94
99284 Emergency department visit with moderate level of medical decision making	23	22	$1515.00	$100.67
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	21	$70.00	$16.20
99285 Emergency department visit for life threatening or functioning severity	12	11	$2260.00	$146.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	352	193	$144.00	$74.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg	277	29	$15.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	118	81	$30.00	$2.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	46	$45.00	$11.81
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	57	48	$58.95	$41.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$210.00	$91.99
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	23	$45.00	$16.27
81000 Manual urinalysis test with examination using microscope, non-automated	26	20	$30.00	$3.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	22	21	$25.00	$1.80
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	14	$70.00	$16.24
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$25.00	$7.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	14	$44.00	$19.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	11	$211.00	$105.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$226.00	$107.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	276	144	$144.00	$75.69
36415 Insertion of needle into vein for collection of blood sample	114	64	$30.00	$3.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	104	14	$15.00	$0.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$210.00	$92.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	24	$45.00	$11.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	15	$83.09	$46.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	19	$211.00	$107.53
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	31	30	$46.29	$39.62
81000 Manual urinalysis test with examination using microscope, non-automated	20	18	$30.75	$4.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	19	13	$29.47	$2.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$226.00	$109.62
J1030 Injection, methylprednisolone acetate, 40 mg	12	12	$25.00	$5.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	204	107	$143.74	$61.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	22	$15.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	105	70	$30.00	$2.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$210.00	$89.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	30	$45.00	$11.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	28	21	$26.79	$2.03
J1030 Injection, methylprednisolone acetate, 40 mg	23	22	$25.00	$6.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	11	$87.00	$37.54
81000 Manual urinalysis test with examination using microscope, non-automated	17	14	$28.82	$3.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$211.00	$90.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$210.00	$88.47
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$144.00	$60.66

Medical Specialties & State Licenses

CMS Verified: 2025-08-26

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License TX F06191740

Definition to come...

Hospital & Practice Group Affiliations

Buffalo Family Practice Pllc

1686 W Us Hwy 79, Buffalo, TX 758313490

Phone: 9033221290

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Julie Pickens

Nurse Practitioner - Family

NPI 1134781081

Lori Irons

Nurse Practitioner - Family

NPI 1588448526

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 26, 2025

Registered at 1686 W US HIGHWAY 79, BUFFALO, TX 758313490 (Tel: 9033221290)

📍

Updated Business Mailing Address August 26, 2025

Registered at 1686 W US HIGHWAY 79, BUFFALO, TX 758313490 (Tel: 9033221290)

👤

Provider Name / Credentials Updated August 26, 2025

Recorded as JAMES PICKENS, APRN FNP-C

✅

NPI Profile Active July 03, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location July 03, 2019

Registered at 600 S BONHAM ST, MEXIA, TX 766673603 (Tel: 2545625332)

📍

Updated Business Mailing Address July 03, 2019

Registered at 600 S BONHAM ST, MEXIA, TX 766673603 (Tel: 2545625332)

👤

Provider Name / Credentials Updated July 03, 2019

Recorded as JAMES PICKENS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2019

Nurse Practitioner (License #F06191740 in TX)

🟢

Initial NPI Registration & Enumeration July 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619539103

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2019

Last Update: August 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1686 W Us Highway 79

Buffalo, TX 758313490

Phone: 9033221290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.