Adair Deberry-Carlisle, D.O.
NPI 1730110651ActiveIndividual· Surgery· Tyler, TX
Surgery (D.O.) in Tyler, Texas, trained at University of North Texas Hsc, College of Osteopathic Med (class of 2003). Medicare paid $16,818 for services to 113 patients in 2024.
Overview
| NPI | 1730110651 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Oct 28, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | M0050 | TX |
| Surgery, Surgical Critical Care | 2086S0102X | 302447 | NY |
| Surgery | 208600000X | 302447 | NY |
| Surgery, Trauma Surgery | 2086S0127X | 1974 | NE |
| Surgery, Trauma Surgery | 2086S0127X | 1027941 | MA |
| Surgery | 208600000X | 1974 | NE |
| Surgery, Surgical Critical Care | 2086S0102X | 1027941 | MA |
| Surgery, Trauma Surgery | 2086S0127X | 6836 | OK |
| Surgery, Trauma Surgery | 2086S0127X | 007921 | AZ |
| Surgery, Trauma Surgery | 2086S0127X | 71035-21 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CO); Practitioner - General Surgery (FL); Practitioner - General Surgery (ND); Practitioner - General Surgery (NE); Practitioner - General Surgery (SC); Practitioner - General Surgery (TN); Practitioner - General Surgery (TX); Practitioner - General Surgery (WI); Practitioner - General Surgery (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 206 across 27 procedure codes |
| Paid by Medicare | $16,818 |
Education and affiliations
| Medical school | University of North Texas Hsc, College of Osteopathic Med |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | General Surgery |
Medical group
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
Hospital affiliations
- Baptist Memorial HospitalMemphis, TN
- Christus Mother Frances HospitalTyler, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Tyler
- 1568009058
- 1396773339
- 1750383386
- 1518013614
- 1245456375
- 1922298876
- 1265886774
- 1225013915
- 1235254384
- 1902803679
- 1043206774
- 1457321853