Adair Deberry-Carlisle, D.O.

Surgery · Tyler, TX

Call (903) 606-5560 Directions

At a glance

630 S Fleishel Ave, Tyler, TX 75701-2041

NPPES record updated Oct 14, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

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Practice location

630 S Fleishel Ave
Tyler, TX 75701-2041

Additional reported practice locations

2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone: 4027633410
4007 James Casey St
Suite B-140
Austin, TX 787453369
Phone: 7372023871
1200 N Beaver St
Flagstaff, AZ 860013118
Phone: 9287793366
700 S Park St
Madison, WI 537151830
Phone: 6082516100
Fax: 6082602976
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone: 4027633410
2701 Hospital Dr
Victoria, TX 779015748
Phone: 3615825771
Fax: 3615825745
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
University Of North Texas Hsc, College Of Osteopathic Med
Graduation year
2003
CMS specialties
General Surgery

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

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PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1730110651
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Registry details

Primary taxonomy
Surgery
Taxonomy code
208600000X
Enumeration date
Jul 6, 2006
Record updated
Oct 14, 2026
More registry details
Provider type
Individual · Type 1
Reported credentials
D.O.

Reported taxonomies and licenses

Surgery

208600000X

License reported: 1974 NE

Surgery

208600000X · Primary

License reported: M0050 TX

Surgery

208600000X

License reported: 302447 NY

Specialty details in registry

2086S0102X

License reported: 302447 NY

Specialty details in registry

2086S0127X

License reported: 6836 OK

Specialty details in registry

2086S0127X

License reported: 007921 AZ

Specialty details in registry

2086S0127X

License reported: 71035-21 WI

Specialty details in registry

2086S0127X

License reported: 1974 NE

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone
(903) 606-5560
Mailing address
988102 NEBRASKA MEDICAL CENTER

OMAHA, NE 681988102
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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