Active NPI 1962432146 Individual Practitioner Male Practitioner

James D Hedgepeth

Specialist • Live Oak, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Hedgepeth is a certified Specialist practicing in Live Oak, TX. With approximately 39 years of clinical experience since completing medical education in 1987, James Hedgepeth delivers high-quality medical care to the local community at 11481 TOEPPERWEIN RD.

James Hedgepeth is affiliated with Toepperwein Physical Therapy And Spine Rehab Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11481 Toepperwein Rd
Suite 1201

Live Oak, TX 78233

Telephone 2105998903

Fax 2105999035

Associated Practice Facility / Clinic

🏢 Toepperwein Physical Therapy And Spine Rehab Pc Facility NPI 1366626319

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Live Oak, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs -2.0 yrs vs City Avg

City Avg: 41.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Live Oak, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hedgepeth (39 Years) 39 Yrs

Live Oak Specialty Average (41.0 Years) 41.0 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
97530 Therapy procedure using functional activities	4,946	379	$45.00	$27.47
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,528	357	$45.02	$20.40
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,041	344	$45.00	$18.46
97140 Therapy procedure using manual technique, each 15 minutes	1,759	255	$45.00	$16.79
97113 Therapy procedure using water pool to exercises, each 15 minutes	395	29	$45.00	$24.18
97164 Re-evaluation for physical therapy, typically 20 minutes	345	229	$160.00	$61.37
97535 Training for self-care or home management, each 15 minutes	186	175	$47.50	$21.50
97162 Evaluation for physical therapy, typically 30 minutes	155	148	$140.00	$89.54
97161 Evaluation of physical therapy, typically 20 minutes	73	71	$130.00	$89.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,838	285	$44.98	$20.69
97530 Therapy procedure using functional activities	2,661	282	$45.00	$32.31
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,748	272	$45.00	$23.07
97140 Therapy procedure using manual technique, each 15 minutes	1,360	201	$45.00	$18.37
97113 Therapy procedure using water pool to exercises, each 15 minutes	271	17	$45.00	$26.57
97164 Re-evaluation for physical therapy, typically 20 minutes	242	167	$160.00	$67.26
97162 Evaluation for physical therapy, typically 30 minutes	159	156	$140.00	$96.59
97535 Training for self-care or home management, each 15 minutes	136	131	$47.50	$23.56
97116 Walking training to 1 or more areas, each 15 minutes	21	11	$45.00	$20.42
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$130.00	$96.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,549	205	$35.35	$21.05
97530 Therapy procedure using functional activities	1,142	164	$45.00	$34.29
97140 Therapy procedure using manual technique, each 15 minutes	980	154	$45.00	$19.07
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	784	126	$45.00	$25.69
97164 Re-evaluation for physical therapy, typically 20 minutes	164	103	$121.95	$68.19
97161 Evaluation of physical therapy, typically 20 minutes	95	93	$110.42	$99.86
97535 Training for self-care or home management, each 15 minutes	81	75	$47.50	$24.68
97162 Evaluation for physical therapy, typically 30 minutes	20	20	$127.00	$99.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	3,401	225	$34.93	$23.57
97140 Therapy procedure using manual technique, each 15 minutes	1,156	174	$45.00	$21.36
97530 Therapy procedure using functional activities	1,091	154	$40.92	$36.17
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	870	126	$45.00	$27.93
97164 Re-evaluation for physical therapy, typically 20 minutes	180	120	$120.00	$68.31
97161 Evaluation of physical therapy, typically 20 minutes	154	148	$110.00	$99.60
97535 Training for self-care or home management, each 15 minutes	59	58	$47.50	$25.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	3,030	184	$34.93	$23.74
97140 Therapy procedure using manual technique, each 15 minutes	1,128	143	$45.00	$21.83
97530 Therapy procedure using functional activities	1,078	141	$35.00	$33.20
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	987	132	$45.00	$29.15
97113 Therapy procedure using water pool to exercises, each 15 minutes	255	15	$34.93	$29.56
97164 Re-evaluation for physical therapy, typically 20 minutes	170	108	$120.00	$57.68
97161 Evaluation of physical therapy, typically 20 minutes	108	104	$110.00	$84.09
97535 Training for self-care or home management, each 15 minutes	96	92	$47.50	$25.85
97162 Evaluation for physical therapy, typically 30 minutes	19	19	$120.00	$84.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	3,572	271	$34.93	$23.11
97530 Therapy procedure using functional activities	2,359	261	$35.00	$32.13
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,271	182	$45.00	$26.94
97140 Therapy procedure using manual technique, each 15 minutes	1,218	184	$45.00	$21.31
97164 Re-evaluation for physical therapy, typically 20 minutes	241	148	$120.00	$54.90
97113 Therapy procedure using water pool to exercises, each 15 minutes	214	12	$34.93	$28.83
97535 Training for self-care or home management, each 15 minutes	168	138	$47.50	$25.19
97161 Evaluation of physical therapy, typically 20 minutes	101	95	$110.00	$81.38
97162 Evaluation for physical therapy, typically 30 minutes	87	87	$120.00	$81.71
97116 Walking training to 1 or more areas, each 15 minutes	47	13	$45.00	$23.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,694	240	$34.93	$22.93
97530 Therapy procedure using functional activities	2,206	224	$35.00	$31.76
97140 Therapy procedure using manual technique, each 15 minutes	2,014	197	$45.00	$20.84
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	504	93	$45.00	$25.13
97113 Therapy procedure using water pool to exercises, each 15 minutes	326	18	$34.93	$29.24
97164 Re-evaluation for physical therapy, typically 20 minutes	270	166	$120.00	$54.21
97535 Training for self-care or home management, each 15 minutes	171	140	$47.50	$25.20
97162 Evaluation for physical therapy, typically 30 minutes	124	120	$120.00	$80.11
97161 Evaluation of physical therapy, typically 20 minutes	61	59	$110.00	$80.40
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	27	11	$35.00	$9.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,523	225	$34.93	$24.27
97140 Therapy procedure using manual technique, each 15 minutes	1,687	183	$45.00	$22.06
97530 Therapy procedure using functional activities	1,630	187	$35.00	$30.97
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,012	105	$45.00	$27.21
97113 Therapy procedure using water pool to exercises, each 15 minutes	488	19	$34.93	$28.17
97164 Re-evaluation for physical therapy, typically 20 minutes	276	176	$120.00	$51.19
97535 Training for self-care or home management, each 15 minutes	174	134	$47.50	$26.60
97162 Evaluation for physical therapy, typically 30 minutes	156	149	$120.00	$77.41
97116 Walking training to 1 or more areas, each 15 minutes	134	19	$45.00	$20.73
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	100	20	$35.00	$9.92
97035 Application of ultrasound, each 15 minutes	48	17	$35.00	$10.00
97161 Evaluation of physical therapy, typically 20 minutes	41	41	$110.00	$78.02

Medical Specialties & State Licenses

CMS Verified: 2024-06-12

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 169110

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

062809102 (TX)

Hospital & Practice Group Affiliations

Toepperwein Physical Therapy And Spine Rehab Pc

11481 Toepperwein Rd, Live Oak, TX 782333146

Phone: 2105998903

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Martin Santiago Casas , PT, DPT

Physical Therapist

NPI 1235943887

Physical Therapist, Doctor of Physical Therapy

Dr. Marie Gilada , PT, DPT

Physical Therapist

NPI 1477067270

Physical Therapist, Doctor of Physical Therapy

Christine Moreno

Physical Therapist

NPI 1972839140

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 11481 TOEPPERWEIN RD, SUITE 1201, LIVE OAK, TX 78233 (Tel: 2105998903)

📍

Updated Business Mailing Address July 08, 2007

Registered at 11481 TOEPPERWEIN RD, SUITE 1201, LIVE OAK, TX 782333145 (Tel: 2105998903)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES HEDGEPETH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #169110 in TX)

🟢

Initial NPI Registration & Enumeration July 04, 2006

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: 1962432146

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: June 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11481 Toepperwein Rd, Suite 1201

Live Oak, TX 782333145

Phone: 2105998903

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.