Dr James Joseph Sorce, MD - Medicare Otolaryngology in Marble Falls, TX

Dr James Joseph Sorce, MD is a medicare enrolled "Otolaryngology" physician in Marble Falls, Texas. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Capital Otolaryngology Head And Neck Surgeons, Pa and his current practice location is 801 Steve Hawkins Pkwy, Marble Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 992-2830.

Dr James Joseph Sorce is licensed to practice in Texas (license number K1070) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285639419.

Contact Information

Dr James Joseph Sorce, MD
801 Steve Hawkins Pkwy,
Marble Falls, TX 78654-6303
(830) 992-2830
(512) 339-1663

Map and Direction




Physician's Profile

Full NameDr James Joseph Sorce
GenderMale
SpecialityOtolaryngology
Experience33 Years
Location801 Steve Hawkins Pkwy, Marble Falls, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Joseph Sorce attended and graduated from State University Of New York At Buffalo School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1285639419
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 05/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941265888
  • Enrollment ID: I20100810000726

Medical Identifiers

Medical identifiers for Dr James Joseph Sorce such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285639419NPI-NPPES
130520307OtherTXCIDC
040010464OtherTXRAILROAD MEDICARE
130520301MedicaidTX
8454J3OtherTXBC/BS TX NUMBER
176590500OtherTXWORKERS COMPENSATION
134649100OtherTXVALLEY HEALTH PLANS NUMBE
109800OtherTXSUPERIOR HEALTH PLANS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology K1070 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Otolaryngology Head And Neck Surgeons, Pa36785514969

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Joseph Sorce allows following entities to bill medicare on his behalf.
Entity NameCapital Otolaryngology Head & Neck Surgeons, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235343344
PECOS PAC ID: 3678551496
Enrollment ID: O20040708001459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Joseph Sorce is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Joseph Sorce, MD
28505 Shailene Dr,
San Antonio, TX 78260-1446

Ph: (956) 648-1119
Dr James Joseph Sorce, MD
801 Steve Hawkins Pkwy,
Marble Falls, TX 78654-6303

Ph: (830) 992-2830

Reviews and Comments


Otolaryngology Doctors in Marble Falls, TX

Suzette Mikula,
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 800 W Highway 71, Marble Falls, TX 78654
Phone: 830-201-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.