NPPES file of Aug 9, 2026

James Gregory Vretis, D.O.

Emergency Medicine Physician · San Angelo, TX

James Gregory Vretis, D.O. is an emergency medicine physician with a practice address in San Angelo, Texas, and NPI 1184691214, issued on Mar 7, 2006. Check the license (Texas F4638, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184691214
Name
James Gregory Vretis
Credential
D.O.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License numbers
F4638 TX
0531753 KS
Self-reported in NPPES; status is on the state search
Practice location
120 E Harris Ave, San Angelo, TX 76903
Phone
(325) 658-1511
Enumerated
Mar 7, 2006
Record last updated
Jul 31, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(325) 481-2166
Medicaid IDs
200372730C KS
030052702 TX
200607500A KS
200607500B KS
Medicare enrollment
Enrolled (PECOS I20041020001005); accepts Medicare assignment
Medical or professional school
University Of North Texas Hsc, College Of Osteopathic Med, 1979
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 120 E Harris Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Virginia Adams, RD, LDRegistered Dietitian1760651434
  2. Jarrett Aldinger, MDAnesthesiology Physician1689934788
  3. Saint-Martin Allihien, MD, MPHInternal Medicine Physician1467194498
  4. Nestor Alvar, CCPPerfusionist1215868047
  5. Stormie Anderson, RNEmergency Registered Nurse1386510410
  6. Cameron Arakaki, DOEmergency Medicine Physician1457098246

Verify James Gregory Vretis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license F4638
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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95% more Medicare Part D claims than the average emergency medicine physician in 2024

440 Medicare Part D claims for 134 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.

  1. James Vretis440
  2. Specialty average226

Most prescribed

  1. Lisinopril25 claims
  2. Trazodone Hcl20 claims
  3. Cephalexin19 claims
  4. Naproxen18 claims
  5. Atorvastatin Calcium13 claims
  6. Gabapentin11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 95.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%95.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Shannon ClinicSan Angelo, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Gregory Vretis among 4,885 emergency medicine physician records in Texas

James Gregory Vretis, D.O. is one of 4,885 emergency medicine physician records with a practice address in Texas. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 67% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 57% of these records are
  • Graduated1979 · median 2013 among the 2,779 with a school on file
  • Record last updated2014 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

33 emergency medicine physician records list a practice address in San Angelo

They are 33 of the 1,796 NPPES records with a practice address in San Angelo, and 4,885 emergency medicine physician records in Texas.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Charles Benham, M.D.San Angelo, TX 769031659342244
  2. Stephen Boster, MDSan Angelo, TX 769031649242975
  3. Harold Freemyer, M.D.San Angelo, TX 769031225011083
  4. Lance Hafter, D.O.San Angelo, TX 769031023075009
  5. Roland Heidenhofer, M.D.San Angelo, TX 769031386600831
  6. Scott Hodge, MDSan Angelo, TX 769031073584066
  7. Sara Jackson-Vance, M.D.San Angelo, TX 769031790879849
  8. Kelly Koenig, D.O.San Angelo, TX 769031861710576

Common questions

What is James Gregory Vretis, D.O.'s NPI number?

James Gregory Vretis, D.O.'s National Provider Identifier (NPI) is 1184691214, issued on Mar 7, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James Gregory Vretis, D.O. located?

The NPPES record lists a practice address at 120 E Harris Ave, San Angelo, TX, 76903. Phone: (325) 658-1511. Providers update this record themselves, so call before visiting.

How can I verify James Gregory Vretis, D.O.'s license?

NPPES lists Texas license number F4638, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Gregory Vretis, D.O. prescribe under Medicare Part D?

In 2024, James Gregory Vretis, D.O. had 440 Medicare Part D claims for 134 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is James Gregory Vretis, D.O.'s MIPS final score?

The 2023 MIPS final score is 95.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.