Deactivated NPI 1487650552 Deactivated / Inactive NPI Male Practitioner

Dr. James R Long , MD

Specialist • Flower Mound, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 23, 2005

NPI Deactivation Date December 14, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. James Long, MD was a registered Specialist practicing in Flower Mound, TX. Throughout an active medical career spanning 18 years, Dr. Long provided care at the practice location at 2609 SAGEBRUSH DR until profile deactivation on 2023-12-14.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual alcohol misuse screening, 5 to, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2609 Sagebrush Dr
Suite 101

Flower Mound, TX 750282733

Telephone 9725394875

Fax 9725393488

Associated Practice Facility / Clinic

🏢 Nis Medical Associates, Pllc Facility NPI 1639849466

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Flower Mound, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Flower Mound, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	152	$197.74	$126.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	142	121	$277.18	$176.62
G0442 Annual alcohol misuse screening, 5 to 15 minutes	140	140	$30.00	$18.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$200.00	$128.96
G0444 Annual depression screening, 5 to 15 minutes	131	131	$30.00	$18.15
36415 Insertion of needle into vein for collection of blood sample	124	96	$27.00	$3.00
G0008 Administration of influenza virus vaccine	93	93	$30.00	$16.47
90662 Influenza vaccine split virus, preservative free	92	92	$80.00	$65.21
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$159.40	$89.05
96127 Assessment of emotional or behavioral problems	58	17	$20.00	$4.54
76700 Ultrasound of abdomen	32	32	$100.00	$80.85
94010 Test to measure expiratory airflow and volume	23	18	$68.00	$28.67
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$85.00	$14.34
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$16.56
90471 Administration of 1 vaccine	17	17	$40.00	$16.47
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	16	12	$150.00	$45.23
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	16	16	$90.00	$35.10
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$200.00	$164.09
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$20.00	$14.34
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	11	$48.85	$15.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	139	$155.45	$106.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	137	109	$213.94	$142.70
99213 Established patient office or other outpatient visit, typically 15 minutes	128	69	$110.63	$73.05
G0442 Annual alcohol misuse screening, 5 to 15 minutes	127	127	$30.00	$17.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$200.00	$112.24
G0444 Annual depression screening, 5 to 15 minutes	104	104	$30.00	$17.60
36415 Insertion of needle into vein for collection of blood sample	99	82	$16.58	$2.98
G0008 Administration of influenza virus vaccine	66	65	$29.81	$16.21
90662 Influenza vaccine split virus, preservative free	63	63	$79.37	$60.79
93000 Routine ekg using at least 12 leads including interpretation and report	21	19	$56.43	$16.44
94010 Test to measure expiratory airflow and volume	19	17	$68.00	$34.10
G0009 Administration of pneumococcal vaccine	16	16	$26.54	$16.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$131.00	$115.51
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	15	15	$76.00	$33.49
90471 Administration of 1 vaccine	15	15	$33.27	$13.86
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$200.00	$166.38
76770 Complete ultrasound scan behind abdominal cavity	11	11	$113.64	$73.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	154	$120.14	$105.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	117	$170.00	$141.05
99213 Established patient office or other outpatient visit, typically 15 minutes	129	70	$100.00	$71.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	122	122	$185.46	$160.47
G0442 Annual alcohol misuse screening, 5 to 15 minutes	100	100	$30.00	$17.31
G0008 Administration of influenza virus vaccine	96	96	$23.84	$15.90
90662 Influenza vaccine split virus, preservative free	89	89	$60.22	$54.89
36415 Insertion of needle into vein for collection of blood sample	76	57	$3.32	$2.94
G0444 Annual depression screening, 5 to 15 minutes	63	63	$30.00	$17.31
96127 Assessment of emotional or behavioral problems	54	20	$20.00	$4.96
G0009 Administration of pneumococcal vaccine	30	30	$23.75	$15.90
94010 Test to measure expiratory airflow and volume	29	24	$68.00	$33.78
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$36.79	$16.33
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	26	11	$100.00	$65.35
G0010 Administration of hepatitis b vaccine	26	11	$23.84	$15.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$200.00	$160.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$111.00	$107.55
93922 Ultrasound study of arm and leg arteries	18	18	$100.00	$81.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$194.47	$111.47
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$21.33	$16.35
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	13	13	$21.67	$17.32
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$60.00	$31.91
90471 Administration of 1 vaccine	13	13	$25.58	$16.03
90670 Pneumococcal vaccine for injection into muscle	11	11	$200.00	$196.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	163	$120.45	$100.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	147	119	$170.34	$135.58
G0444 Annual depression screening, 5 to 15 minutes	140	140	$30.00	$16.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	136	136	$30.00	$17.02
99213 Established patient office or other outpatient visit, typically 15 minutes	133	84	$100.00	$68.33
G0008 Administration of influenza virus vaccine	121	119	$23.83	$19.51
90662 Influenza vaccine split virus, preservative free	115	115	$60.00	$52.30
36415 Insertion of needle into vein for collection of blood sample	101	71	$3.00	$2.94
94010 Test to measure expiratory airflow and volume	33	27	$68.00	$33.19
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$36.61	$15.25
96103 Psychological testing with interpretation and report by computer	26	18	$45.00	$26.13
G0009 Administration of pneumococcal vaccine	26	26	$23.84	$19.51
90670 Pneumococcal vaccine for injection into muscle	16	16	$200.00	$194.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$30.00	$16.20
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	12	$24.56	$19.25
93922 Ultrasound study of arm and leg arteries	14	14	$100.00	$81.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$180.00	$154.75
90471 Administration of 1 vaccine	11	11	$25.58	$19.02
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$60.00	$30.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$113.10	$99.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	138	$120.32	$102.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	109	$170.38	$138.02
G0008 Administration of influenza virus vaccine	105	104	$23.84	$23.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	102	102	$30.00	$17.07
90662 Influenza vaccine split virus, preservative free	101	101	$60.00	$47.99
G0444 Annual depression screening, 5 to 15 minutes	101	101	$30.00	$17.07
99213 Established patient office or other outpatient visit, typically 15 minutes	97	62	$100.10	$69.42
36415 Insertion of needle into vein for collection of blood sample	69	52	$3.00	$2.94
G0010 Administration of hepatitis b vaccine	34	17	$23.84	$23.36
94010 Test to measure expiratory airflow and volume	33	31	$65.24	$33.57
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	33	17	$100.00	$61.06
96103 Psychological testing with interpretation and report by computer	30	20	$45.00	$26.75
G0009 Administration of pneumococcal vaccine	25	24	$23.84	$23.36
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$37.38	$15.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$110.00	$95.78

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX E1366

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Li Wan , MD

Family Medicine

NPI 1164171732

Doctor of Medicine (M.D.)

Dr. Hina Tareen , MD

Internal Medicine - Rheumatology

NPI 1437569829

Doctor of Medicine (M.D.)

Jennifer Rebolledo

Physician Assistant - Medical

NPI 1831520899

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated December 14, 2023

Record deactivated on December 14, 2023

✅

NPI Profile Active November 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 25, 2014

Registered at 2609 SAGEBRUSH DR, SUITE 101, FLOWER MOUND, TX 750282733 (Tel: 9725394875)

📍

Updated Business Mailing Address November 25, 2014

Registered at 2609 SAGEBRUSH DR, SUITE 101, FLOWER MOUND, TX 750282733 (Tel: 9725394875)

👤

Provider Name / Credentials Updated November 25, 2014

Recorded as JAMES LONG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2014

Specialist (License #E1366 in TX)

🟢

Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Long. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487650552

Entity Type:

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

Enumeration Date: June 23, 2005

Last Update: November 25, 2014

Deactivation Date: December 14, 2023

Update or Correct Profile

Mailing Address

2609 Sagebrush Dr, Suite 101

Flower Mound, TX 750282733

Phone: 9725394875

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.