Active NPI 1477713535 Individual Practitioner Male Practitioner

Dr. James Andrew Hurst , MD

Orthopaedic Surgery • Lufkin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Hurst, MD is a certified Orthopaedic Surgery practicing in Lufkin, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Hurst delivers high-quality medical care to the local community at 208 GASLIGHT BLVD.

Dr. Hurst is affiliated with Texas Specialist Center Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

208 Gaslight Blvd

Lufkin, TX 759043166

Telephone 9366348800

Fax 9366348836

Associated Practice Facility / Clinic

🏢 Jackson D. Wagnon, M.d.p.a. Facility NPI 1679793350

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lufkin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -3.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Lufkin, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hurst (18 Years) 18 Yrs

Lufkin Specialty Average (21.3 Years) 21.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,264	103	$6.35	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	311	178	$227.38	$86.41
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	221	37	$129.00	$59.84
20610 Aspiration and/or injection of fluid from large joint	171	103	$270.86	$68.84
73560 X-ray of knee, 1-2 views	93	80	$101.76	$32.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$318.24	$121.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$326.50	$106.22
73502 X-ray of hip, 2-3 views	39	36	$135.51	$41.88
73030 X-ray of shoulder, minimum of 2 views	35	30	$113.74	$32.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$546.00	$159.59
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	21	15	$65.00	$45.74
27447 Replacement of knee joint, both sides of knee	14	14	$4486.36	$1223.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,744	138	$5.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	369	193	$233.00	$86.33
20610 Aspiration and/or injection of fluid from large joint	197	119	$245.18	$66.60
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	117	28	$129.00	$59.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$334.00	$107.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	58	$338.00	$122.62
73560 X-ray of knee, 1-2 views	46	42	$104.00	$32.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$630.00	$166.74
73502 X-ray of hip, 2-3 views	38	34	$140.00	$44.95
73030 X-ray of shoulder, minimum of 2 views	30	28	$103.00	$33.14
20610 Aspiration and/or injection of fluid from large joint	26	21	$242.31	$40.55
73130 X-ray of hand, minimum of 3 views	22	18	$108.36	$34.11
73110 X-ray of wrist, minimum of 3 views	22	15	$120.00	$39.14
77002 Fluoroscopic guidance for needle placement	19	18	$337.00	$26.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$510.00	$159.66
20550 Injection into tendon or ligament	17	16	$172.00	$53.82
73610 X-ray of ankle, minimum of 3 views	15	12	$108.00	$35.32
73630 X-ray of foot, minimum of 3 views	15	13	$101.00	$32.83
73562 X-ray of knee, 3 views	15	13	$120.73	$38.96
27447 Replacement of knee joint, both sides of knee	14	13	$4293.00	$1222.61
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$176.00	$50.77
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3893.00	$1137.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,380	16	$40.00	$11.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,056	109	$4.83	$1.16
99213 Established patient office or other outpatient visit, typically 15 minutes	387	200	$227.79	$87.75
20610 Aspiration and/or injection of fluid from large joint	221	118	$240.53	$68.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$320.72	$108.36
73560 X-ray of knee, 1-2 views	65	54	$98.34	$33.81
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	62	18	$299.35	$140.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$333.06	$122.47
73562 X-ray of knee, 3 views	39	31	$123.69	$41.19
73030 X-ray of shoulder, minimum of 2 views	37	30	$95.50	$32.64
73502 X-ray of hip, 2-3 views	36	33	$138.69	$45.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$630.00	$191.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$501.63	$162.06
73610 X-ray of ankle, minimum of 3 views	19	14	$104.29	$32.09
20610 Aspiration and/or injection of fluid from large joint	16	14	$210.00	$40.72
73110 X-ray of wrist, minimum of 3 views	15	13	$120.00	$38.09
73130 X-ray of hand, minimum of 3 views	13	11	$111.39	$38.79
77002 Fluoroscopic guidance for needle placement	12	11	$337.00	$26.65
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3787.00	$1148.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	624	96	$2.55	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	337	178	$178.14	$88.25
20610 Aspiration and/or injection of fluid from large joint	195	100	$133.99	$66.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$218.41	$108.53
73560 X-ray of knee, 1-2 views	102	69	$62.78	$33.32
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	72	17	$271.06	$134.96
73030 X-ray of shoulder, minimum of 2 views	45	36	$66.74	$32.81
73502 X-ray of hip, 2-3 views	39	33	$90.92	$45.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$262.68	$131.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$253.11	$126.50
73110 X-ray of wrist, minimum of 3 views	21	11	$78.66	$37.86
73130 X-ray of hand, minimum of 3 views	18	14	$62.81	$35.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$326.78	$154.83
76000 Imaging guidance for procedure, 60 minutes or less	11	11	$58.84	$14.95
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$2374.98	$1187.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	514	79	$2.94	$1.47
99213 Established patient office or other outpatient visit, typically 15 minutes	256	136	$146.41	$72.66
20610 Aspiration and/or injection of fluid from large joint	150	76	$127.41	$62.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$210.09	$104.59
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$200.66	$99.23
73560 X-ray of knee, 1-2 views	26	21	$53.50	$27.07
76000 Imaging guidance for procedure, 60 minutes or less	18	18	$33.46	$15.22
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$2430.26	$1208.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	412	69	$3.22	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	254	136	$144.92	$70.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$211.12	$103.75
20610 Aspiration and/or injection of fluid from large joint	112	68	$122.13	$60.14
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$200.00	$94.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$212.56	$104.66
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$2443.76	$1202.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	266	43	$3.67	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	149	78	$142.57	$70.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$210.41	$103.12
20610 Aspiration and/or injection of fluid from large joint	87	48	$127.81	$59.65
73562 X-ray of knee, 3 views	19	17	$68.74	$33.85
73502 X-ray of hip, 2-3 views	19	12	$79.67	$39.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	254	49	$7.93	$1.78
20610 Aspiration and/or injection of fluid from large joint	65	55	$190.19	$60.98
99213 Established patient office or other outpatient visit, typically 15 minutes	53	38	$148.54	$68.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$204.75	$102.59
73562 X-ray of knee, 3 views	20	17	$71.62	$34.97
73502 X-ray of hip, 2-3 views	17	16	$78.51	$38.56

Medical Specialties & State Licenses

CMS Verified: 2022-02-24

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX P6426

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License KS 04-37030

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201097410A (KS)

Commercial Insurance / Payer ID Npi

1477713535

Hospital & Practice Group Affiliations

Texas Specialist Center Pllc

208 Gaslight Blvd, Lufkin, TX 759043166

Phone: 9366348800

Secondary Practice Locations

3414 Golden Rd

Tyler, TX 757018336

Phone: 9039397500

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Jason Carter , MD

Orthopaedic Surgery

NPI 1063447407

Doctor of Medicine (M.D.)

Dr. Roy Guse , MD

Orthopaedic Surgery

NPI 1215984356

Doctor of Medicine (M.D.)

Shelby Bryan , LVN, TS-C, FA

Specialist/Technologist, Other - Surgical Assistant

NPI 1245594563

Licensed Vocational Nurse, TSC, FA

Dr. Peter Ross , MD

Orthopaedic Surgery

NPI 1295730323

Doctor of Medicine (M.D.)

Dr. Johnathan Williams , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1326304049

Doctor of Medicine (M.D.)

Dr. Daniel Fuentes , DO

Orthopaedic Surgery

NPI 1336189562

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location June 19, 2025

Registered at 208 GASLIGHT BLVD, LUFKIN, TX 759043166 (Tel: 9366348800)

📍

Updated Business Mailing Address June 19, 2025

Registered at 208 GASLIGHT BLVD, LUFKIN, TX 759043166 (Tel: 9366308808)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Orthopaedic Surgery (License #04-37030 in KS)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2022

Orthopaedic Surgery (License #P6426 in TX)

📍

Updated Practice Location November 11, 2021

Registered at 3816 N UNIVERSITY DR, NACOGDOCHES, TX 759652011 (Tel: 9363055301)

📍

Updated Business Mailing Address November 11, 2021

Registered at 4700 SETON CENTER PKWY, STE 115, AUSTIN, TX 787595753 (Tel: 9363055301)

📍

Updated Practice Location September 20, 2019

Registered at 613 RUSSELL BLVD, NACOGDOCHES, TX 759651247 (Tel: 9363055301)

📍

Updated Business Mailing Address September 20, 2019

Registered at 613 RUSSELL BLVD, NACOGDOCHES, TX 759651247 (Tel: 9363055301)

✅

NPI Profile Active August 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2014

Registered at 20920 W 151ST ST, SUITE 100, OLATHE, KS 660617247 (Tel: 9137821148)

📍

Updated Business Mailing Address August 20, 2014

Registered at 20920 W 151ST ST, SUITE 100, OLATHE, KS 660617247 (Tel: 9137821148)

👤

Provider Name / Credentials Updated August 20, 2014

Recorded as JAMES HURST, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2014

Orthopaedic Surgery (License #04-37030 in KS)

🟢

Initial NPI Registration & Enumeration June 12, 2008

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: 1477713535

Entity Type:

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

Enumeration Date: June 12, 2008

Last Update: June 19, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

208 Gaslight Blvd

Lufkin, TX 759043166

Phone: 9366308808

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.