Active NPI 1467445452 Individual Practitioner Male Practitioner

Dr. Jack Richard Harris , MD

Allergy & Immunology • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jack Harris, MD is a registered healthcare professional specializing in Allergy & Immunology in Tyler, TX. Practice services are available at 1128 MEDICAL DR under active NPI credentials.

Frequently performed procedures and clinical services include professional service for preparation and provision of, professional service for multiple injections of allergen, injection of incremental dosages of allergen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1128 Medical Dr

Tyler, TX 757012109

Telephone 9035938273

Fax 9035950204

Associated Practice Facility / Clinic

🏢 Allergy Partners Of Texas, Inc Facility NPI 1699209189

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.5 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Tyler, TX (346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	220	23	$35.00	$12.95
95117 Professional service for multiple injections of allergen	65	52	$52.00	$11.43
95115 Injection of incremental dosages of allergen	54	41	$40.00	$9.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	4,365	200	$29.05	$14.25
95117 Professional service for multiple injections of allergen	1,727	111	$38.38	$11.04
95115 Injection of incremental dosages of allergen	1,289	94	$29.79	$9.45
95004 Test for allergy using allergenic extract	810	15	$14.33	$3.77
99213 Established patient office or other outpatient visit, typically 15 minutes	127	118	$150.35	$86.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$225.81	$122.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$196.50	$107.51
94010 Test to measure expiratory airflow and volume	11	11	$79.64	$25.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	5,265	221	$27.00	$14.72
95117 Professional service for multiple injections of allergen	1,935	118	$32.00	$11.00
95004 Test for allergy using allergenic extract	1,726	33	$13.00	$3.81
95115 Injection of incremental dosages of allergen	1,490	87	$25.00	$9.03
95024 Injection of allergenic extracts into skin for immediate reaction analysis	234	25	$14.50	$8.07
99213 Established patient office or other outpatient visit, typically 15 minutes	203	189	$132.00	$87.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$190.00	$123.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$190.00	$107.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$290.00	$161.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	6,440	252	$25.35	$15.24
95004 Test for allergy using allergenic extract	4,806	90	$13.00	$3.91
95117 Professional service for multiple injections of allergen	2,019	116	$32.00	$10.96
95115 Injection of incremental dosages of allergen	1,407	91	$25.00	$8.92
95024 Injection of allergenic extracts into skin for immediate reaction analysis	624	70	$14.50	$8.10
99213 Established patient office or other outpatient visit, typically 15 minutes	133	122	$131.32	$88.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$190.00	$109.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$80.39	$55.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$290.00	$164.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$190.00	$127.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	7,165	266	$23.00	$13.67
95004 Test for allergy using allergenic extract	5,782	105	$13.00	$4.01
95117 Professional service for multiple injections of allergen	2,067	128	$32.00	$10.05
95115 Injection of incremental dosages of allergen	1,663	101	$25.00	$8.75
95024 Injection of allergenic extracts into skin for immediate reaction analysis	748	76	$14.50	$7.75
99213 Established patient office or other outpatient visit, typically 15 minutes	94	92	$130.00	$72.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$190.00	$104.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	56	$77.00	$43.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$290.00	$160.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$190.00	$105.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	8,559	139	$13.00	$3.95
95165 Professional service for preparation and provision of 1 or more antigens	7,435	274	$23.00	$13.07
95117 Professional service for multiple injections of allergen	2,747	130	$32.00	$9.90
95115 Injection of incremental dosages of allergen	2,544	124	$25.00	$8.61
95024 Injection of allergenic extracts into skin for immediate reaction analysis	858	110	$14.50	$7.54
99213 Established patient office or other outpatient visit, typically 15 minutes	139	130	$130.00	$70.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$190.00	$102.79
94010 Test to measure expiratory airflow and volume	39	39	$63.00	$32.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$290.00	$155.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$77.00	$43.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$190.00	$105.06
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$110.00	$56.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	6,560	221	$23.03	$11.91
95004 Test for allergy using allergenic extract	5,830	86	$13.00	$4.74
95115 Injection of incremental dosages of allergen	2,538	144	$25.00	$7.95
95117 Professional service for multiple injections of allergen	1,098	96	$32.00	$9.30
99213 Established patient office or other outpatient visit, typically 15 minutes	198	184	$130.00	$67.49
95024 Injection of allergenic extracts into skin for immediate reaction analysis	197	48	$14.50	$7.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$190.00	$100.90
94010 Test to measure expiratory airflow and volume	38	35	$63.00	$32.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$290.00	$150.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$77.00	$40.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$190.00	$100.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	6,910	264	$25.00	$11.62
95004 Test for allergy using allergenic extract	4,420	67	$11.00	$5.93
95115 Injection of incremental dosages of allergen	3,324	186	$25.00	$7.76
95117 Professional service for multiple injections of allergen	649	43	$30.00	$8.96
95024 Injection of allergenic extracts into skin for immediate reaction analysis	446	46	$14.00	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	162	153	$100.00	$66.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$150.00	$96.72
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$110.00	$65.89
94010 Test to measure expiratory airflow and volume	18	18	$80.00	$31.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$150.00	$99.14

Medical Specialties & State Licenses

CMS Verified: 2023-10-31

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License TX G1425

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1467445452 (TX)

Commercial Insurance / Payer ID Medicare Ptan

569909ZPF (TX)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Christopher Wrenn , MD

Allergy & Immunology

NPI 1134112501

Doctor of Medicine (M.D.)

Mark Mccabe

Allergy & Immunology

NPI 1396107371

Allison Rutelonis , RN, BSN, MSN, FNP-C

Nurse Practitioner

NPI 1407340128

Registered Nurse, Bachelor of Science in Nursing, Master of Science in Nursing, Family Nurse Practitioner (Certified)

Jean Harris , RN, FNP-BC

Nurse Practitioner

NPI 1508884198

Registered Nurse, Family Nurse Practitioner (Board Certified)

Haley Mccabe , PA-C

Physician Assistant

NPI 1598168619

Physician Assistant (Certified)

Alexandra Hembree , APRN

Nurse Practitioner

NPI 1881210656

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address October 31, 2023

Registered at PO BOX 603725, CHARLOTTE, NC 282603725 (Tel: 8285752625)

📍

Updated Business Mailing Address April 28, 2022

Registered at DEPT. 453 PO BOX 1000, MEMPHIS, TN 381480001 (Tel: 8285752625)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1128 MEDICAL DR, TYLER, TX 757012109 (Tel: 9035938273)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 130789, TYLER, TX 757130789 (Tel: 9035938273)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JACK HARRIS, M.D.

🎓

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

Allergy & Immunology (License #G1425 in TX)

🟢

Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467445452

Entity Type:

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

Enumeration Date: August 25, 2005

Last Update: October 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 603725

Charlotte, NC 282603725

Phone: 8285752625

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.