Active NPI 1457460370 Individual Practitioner Male Practitioner

Dr. James Michael Randle , MD

Neurological Surgery • Nacogdoches, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Randle, MD is a certified Neurological Surgery practicing in Nacogdoches, TX. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Randle delivers high-quality medical care to the local community at 5500 NORTH ST.

Dr. Randle is affiliated with Bhs Physicians Network, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5500 North St

Nacogdoches, TX 759651372

Telephone 9365606999

Fax 9365600184

Associated Practice Facility / Clinic

🏢 Nacogdoches Neurosurgery, P.a. Facility NPI 1942265194

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Nacogdoches, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +9.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Nacogdoches, TX (703 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Randle (44 Years) 44 Yrs

Nacogdoches Specialty Average (35.0 Years) 35.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	45	$298.00	$117.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$299.00	$103.02
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$202.00	$82.05

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	59	46	$298.00	$116.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$299.00	$107.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$149.00	$49.25

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	59	44	$281.32	$121.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	13	$732.72	$240.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$280.19	$107.14
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$190.17	$87.88
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	18	11	$1372.72	$439.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$140.00	$51.24
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$5012.86	$1631.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	79	26	$720.00	$243.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	53	$274.00	$123.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$419.00	$160.59
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$186.00	$89.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	24	$137.00	$49.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$527.00	$215.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$275.00	$109.20
22633 Fusion of spine in lower back with partial removal of spine bone and disc	19	19	$4922.00	$1556.51
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	18	11	$1328.00	$467.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$369.00	$166.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2008.00	$719.50

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	97	72	$274.00	$103.52
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	75	26	$720.00	$252.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$419.00	$152.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	32	$137.00	$51.90
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	24	12	$1071.00	$386.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	15	$107.00	$39.71
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$4594.00	$1653.01
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$1922.00	$708.45
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$4922.00	$1764.12
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$186.00	$72.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$419.00	$153.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	82	$274.00	$100.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	98	37	$720.00	$254.17
99213 Established patient office or other outpatient visit, typically 15 minutes	56	46	$186.00	$70.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	46	43	$137.00	$51.14
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	33	18	$1071.00	$391.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$100.00	$38.30
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	19	19	$4594.00	$1666.94
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$2008.00	$751.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$349.00	$133.12
64721 Release and/or relocation of hand nerve	14	13	$1105.00	$371.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	12	$107.00	$39.44
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$4922.00	$1764.91
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$259.00	$98.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	68	$138.62	$66.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	77	$221.88	$98.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$363.16	$150.37
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	79	30	$2364.81	$232.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	59	$325.00	$186.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	26	$115.33	$49.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	13	$99.29	$36.56
22633 Fusion of spine in lower back with partial removal of spine bone and disc	16	16	$11200.00	$1707.12
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$5507.75	$859.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.83	$98.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$326.00	$129.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	90	$135.00	$69.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	94	$214.63	$102.88
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	112	40	$2500.00	$255.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$360.00	$157.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	83	$325.00	$196.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	22	$105.00	$38.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	36	$125.00	$51.34
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	24	17	$4500.00	$487.42
22633 Fusion of spine in lower back with partial removal of spine bone and disc	23	23	$11200.00	$1781.02
20931 Donor bone graft for spine surgery	21	21	$1200.00	$109.89
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	18	13	$2000.00	$390.72
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$10150.00	$749.01
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$7000.00	$1664.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	11	$125.00	$39.39
64721 Release and/or relocation of hand nerve	11	11	$2470.91	$325.70

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX K8445

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

040384201 (TX)

Commercial Insurance / Payer ID Blue Cross

88720X (TX)

Commercial Insurance / Payer ID Workers Compensation

MDK8445 (TX)

Hospital & Practice Group Affiliations

Bhs Physicians Network, Inc

5500 N St, Nacogdoches, TX 759651372

Phone: 9365606999

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Samantha Dayawansa , MD

Neurological Surgery

NPI 1376980649

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 10, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2010

Registered at 5500 NORTH ST, NACOGDOCHES, TX 759651372 (Tel: 9365606999)

📍

Updated Business Mailing Address September 10, 2010

Registered at 5500 NORTH ST, NACOGDOCHES, TX 759651372 (Tel: 9365606999)

👤

Provider Name / Credentials Updated September 10, 2010

Recorded as JAMES RANDLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2010

Neurological Surgery (License #K8445 in TX)

🟢

Initial NPI Registration & Enumeration August 30, 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: 1457460370

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: September 10, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5500 North St

Nacogdoches, TX 759651372

Phone: 9365606999

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.