RICHARD PAUL ABBEN MD
NPI 1750388740
Internal Medicine - Interventional Cardiology in Houma, LA
NPI Status: Active since July 05, 2005
Contact Information
225 DUNN ST
HOUMA, LA
ZIP 70360
Phone: (985) 876-0300
Fax: (985) 872-0317
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Quality Reporting
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Male
- Years of Experience 48
- Internal Medicine
- Interventional Cardiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About RICHARD ABBEN
This page provides the complete NPI Profile along with additional information for Richard Abben, an internist established in Houma, Louisiana with a medical specialization in Internal Medicine, focusing in interventional cardiology and more than 48 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1978. The healthcare provider is registered in the NPI registry with number 1750388740 assigned on July 2005. The practitioner's primary taxonomy code is 207RI0011X with license number 07836R (LA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1750388740
- Provider Name
- RICHARD PAUL ABBEN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 225 DUNN ST HOUMA, LA 70360
- Location Phone
- (985) 876-0300
- Location Fax
- (985) 872-0317
- Mailing Address
- PO BOX 4176 HOUMA, LA 70361
- Mailing Phone
- (985) 876-0300
- Mailing Fax
- (985) 872-0317
- Medical School Name
- UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
- Graduation Year
- 1978
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-05-2005
- Last Update Date
- 10-19-2015
- Code Navigator
An internist like Richard Abben is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 07836R
- License State
- LA
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 07836R (LA) |
2 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | 07836R (LA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
060042305 | OTHER (01) | LA | RR MEDICARE |
551586833 | MEDICARE PIN (08) | LA | |
A52177 | MEDICARE UPIN (02) | LA | |
1381969 | MEDICAID (05) | LA |
Medicare Participation & PECOS Enrollment Status
Richard Abben is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Richard Abben is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5496844540
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100318000060
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
4 DME suppliers used 28 Medicare Claims 28 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
3 DME suppliers used 26 Medicare Claims 75 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
5 DME suppliers used 25 Medicare Claims 25 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
5 DME suppliers used 45 Medicare Claims 45 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
7 DME suppliers used 44 Medicare Claims 228 Services Paid
DME-Other DME (DE001N)
Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)
5 DME suppliers used 20 Medicare Claims 20 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Other DME (DE001N)
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)
1 DME suppliers used 13 Medicare Claims 14 Services Paid
DME-Other DME (DE001N)
Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)
1 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 28 Medicare Claims 30 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 113 Medicare Claims 113 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Other DME (DE013N)
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type (HCPCS:K0606)
1 DME suppliers used 13 Medicare Claims 13 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anticoagulant management of patient taking warfarin
Blood test, basic group of blood chemicals (calcium, total)
Blood test, clotting time
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
Complete blood cell count (red cells, white blood cell, platelets), automated test
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
Coronary angioplasty and stenting
Ct scan of chest without contrast
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Evaluation of cardiac rhythm monitor system
Evaluation of cardiac rhythm monitor system, remote up to 30 days
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days
Evaluation of single, dual, multiple lead or leadless pacemaker system
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days
Evaluation of single, dual, or multiple lead implantable defibrillator system
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
Exercise or drug-induced heart stress test with electrocardiogram (ecg)
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
External shock to heart to regulate heart beat
Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days
Hemoglobin a1c level
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
Injection, regadenoson, 0.1 mg
Insertion of implantable defibrillator system
Insertion of left lower heart electrode for pacemaker or defibrillator
Insertion of needle into vein for collection of blood sample
Insertion of pacemaker and upper and lower heart chamber electrode
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch
Insertion of tube in coronary artery for diagnosis with review by radiologist
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec
Liver enzyme (sgot), level
Liver enzyme (sgpt), level
Manual urinalysis test with examination using microscope, automated
Natriuretic peptide (heart and blood vessel protein) level
New patient office or other outpatient visit, 45-59 minutes
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Pacemaker insertion or repair
Phosphatase (enzyme) level, alkaline
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
Programming of dual lead implantable defibrillator system
Programming of dual lead pacemaker system
Programming of multiple lead implantable defibrillator system
Programming of multiple lead pacemaker system
Programming of single lead implantable defibrillator system
Programming of single lead pacemaker system
Removal and replacement of multiple lead defibrillator
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Sleep study including heart rate, breathing, and sleep time
Test to determine lung volumes using gas dilution or washout
Test to examine how well the lungs exchange gases
Test to measure expiratory airflow and volume
Thyroid hormone evaluation
Thyroxine (thyroid chemical), total
Transitional care management services for problem of high complexity
Transitional care management services for problem of moderate complexity
Ultrasound of both sides of head and neck blood flow
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart, follow-up
Ultrasound of leg arteries or artery grafts
Ultrasound study of arm or leg veins with compression and maneuvers
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
This service was performed 423 times for 41 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 145 times for 113 patientsA clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
This service was performed 225 times for 28 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 896 times for 704 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 688 times for 605 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 41 times for 40 patientsChronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
This service was performed 151 times for 49 patientsChronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
This service was performed 537 times for 64 patientsA complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
This service was performed 377 times for 303 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
This service was performed 11 times for 11 patientsComplex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
This service was performed 41 times for 24 patientsCoronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.
This service was performed for 13 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 21 times for 20 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.
This service was performed 25 times for 24 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.
This service was performed 63 times for 63 patientsAn Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.
This service was performed 65 times for 63 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 494 times for 440 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 1,980 times for 1,065 patientsThe evaluation of a cardiac rhythm monitor system involves checking your heart's electrical activity. It's a non-invasive procedure that uses a device to record your heart's rhythm and rate. This helps identify any irregularities, ensuring your heart is functioning properly.
This service was performed 34 times for 20 patientsThis procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
This service was performed 164 times for 23 patientsThis service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
This service was performed 103 times for 27 patientsAn evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
This service was performed 22 times for 20 patientsThis procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
This service was performed 1,603 times for 512 patientsThis procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
This service was performed 808 times for 273 patientsThis procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.
This service was performed 37 times for 29 patientsThis procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
This service was performed 804 times for 249 patientsAn exercise or drug-induced heart stress test with an ECG checks how your heart responds to stress. You'll either exercise on a treadmill or be given medication to stress your heart. An ECG then captures your heart's activity, helping detect any issues.
This service was performed 55 times for 55 patientsAn exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
This service was performed 105 times for 105 patientsAn exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
This service was performed 55 times for 55 patientsThis procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.
This service was performed 28 times for 26 patientsThis procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.
This service was performed 12 times for 12 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 26 times for 26 patientsThis injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
This service was performed 19 times for 16 patientsRegadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
This service was performed 600 times for 150 patientsThe insertion of an implantable defibrillator system is a procedure to manage irregular heart rhythms. A small device is placed under your skin, which monitors your heart rate. If it detects an abnormal rhythm, it sends an electrical pulse to restore normal heartbeat.
This service was performed 23 times for 23 patientsThe procedure involves placing a small electrode in your left lower heart region. This electrode is part of a pacemaker or defibrillator, devices that help regulate your heart rhythm. It's done under local anesthesia, and you may feel mild discomfort.
This service was performed 21 times for 21 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 14 times for 14 patientsA pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
This service was performed 24 times for 24 patientsThis procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
This service was performed 14 times for 13 patientsThis procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.
This service was performed 11 times for 11 patientsThis procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
This service was performed 23 times for 23 patientsThis procedure involves the remote monitoring of an implanted device in your heart for up to 30 days. The device collects data about your heart's function which is transmitted and analyzed. The goal is to track your heart's rhythm and identify any abnormalities.
This service was performed 243 times for 41 patientsA Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
This service was performed 37 times for 36 patientsA liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
This service was performed 37 times for 36 patientsA manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
This service was performed 46 times for 45 patientsA natriuretic peptide level test is a blood test that helps doctors check for heart failure. It measures the amount of certain proteins that your heart and blood vessels produce when they are under stress. High levels may indicate heart disease.
This service was performed 234 times for 169 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 47 times for 47 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 43 times for 36 patientsPacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 68 patientsThe Alkaline Phosphatase Level test measures the amount of alkaline phosphatase, an enzyme, in your blood. High or low levels can indicate a variety of health conditions, such as liver disease or bone disorders. It's a common test done to help diagnose and monitor these conditions.
This service was performed 37 times for 36 patientsThis service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.
This service was performed 439 times for 61 patientsProgramming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.
This service was performed 89 times for 50 patientsProgramming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
This service was performed 271 times for 167 patientsProgramming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
This service was performed 219 times for 115 patientsProgramming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.
This service was performed 87 times for 42 patientsProgramming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.
This service was performed 106 times for 63 patientsProgramming of a single lead pacemaker system involves adjusting the pacemaker's settings to suit your heart's unique needs. This is done using a special device that communicates with the pacemaker, ensuring it helps your heart beat at an optimal rate.
This service was performed 32 times for 17 patientsA multiple lead defibrillator helps regulate your heart's rhythm. If it's not functioning properly, it may need to be replaced. In this procedure, the old device is carefully removed and a new one is inserted. It's done under local anesthesia, minimizing discomfort.
This service was performed 11 times for 11 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 693 times for 460 patientsA sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
This service was performed 13 times for 12 patientsThis test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
This service was performed 19 times for 19 patientsThis is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
This service was performed 19 times for 19 patientsThis test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
This service was performed 19 times for 19 patientsA thyroid hormone evaluation is a test that measures the levels of thyroid hormones in your body. These hormones regulate energy and metabolism. If they're too high or too low, it could indicate a thyroid disorder. This test helps in diagnosing and managing such conditions.
This service was performed 35 times for 35 patientsA Thyroxine (thyroid chemical) total test measures the amount of thyroxine, a hormone produced by your thyroid gland, in your blood. This hormone helps regulate your body's metabolism. The test can help diagnose thyroid disorders, such as hypothyroidism or hyperthyroidism.
This service was performed 38 times for 37 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 12 times for 12 patientsTransitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
This service was performed 23 times for 22 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 102 times for 101 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 415 times for 404 patientsA follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
This service was performed 22 times for 19 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
This service was performed 15 times for 15 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 23 times for 23 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 48 times for 46 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.15 for a new patient copayment and $23.77 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70360 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $31.15
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Anticoagulant Management Improvements | Yes | N/A |
Individual MIPS eligible clinicians and groups who prescribe oral Vitamin K antagonist therapy (warfarin) must attest that, for 60 percent of practice patients in the transition year and 75 percent of practice patients in Quality Payment Program Year 2 and future years, their ambulatory care patients receiving warfarin are being managed by one or more of the following improvement activities: • Patients are being managed by an anticoagulant management service, that involves systematic and coordinated care, incorporating comprehensive patient education, systematic prothrombin time (PT-INR) testing, tracking, follow-up, and patient communication of results and dosing decisions; • Patients are being managed according to validated electronic decision support and clinical management tools that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; • For rural or remote patients, patients are managed using remote monitoring or telehealth options that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; and/or • For patients who demonstrate motivation, competency, and adherence, patients are managed using either a patient self-testing (PST) or patient-self-management (PSM) program. | ||
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
Collection and use of patient experience and satisfaction data on access | Yes | N/A |
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs. | ||
Documentation of Current Medications in the Medical Record | 100% | 7963 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
e-Prescribing | 96% | 15203 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 57% | 249 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Medication Reconciliation | 100% | 9111 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 95% | 3523 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 79% | 3362 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 261 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
Provide Patient Access | 100% | 3522 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Tobacco use | Yes | N/A |
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
Use of High-Risk Medications in the Elderly | 12% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 2160 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
Use of telehealth services that expand practice access | Yes | N/A |
Use of telehealth services and analysis of data for quality improvement, such as participation in remote specialty care consults or teleaudiology pilots that assess ability to still deliver quality care to patients. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Richard Abben is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
THIBODAUX REGIONAL MEDICAL CENTER | 602 N ACADIA ROAD THIBODAUX, LA 70301 | (985) 447-5500 | Acute Care Hospitals | |
TERREBONNE GENERAL MEDICAL CENTER - PARISH | 8166 MAIN STREET HOUMA, LA 70360 | (985) 873-4141 | Acute Care Hospitals | |
OCHSNER ST MARY | 1125 MARGUERITE STREET MORGAN CITY, LA 70380 | (985) 384-2200 | Acute Care Hospitals | |
OCHSNER ST ANNE GENERAL HOSPITAL | 4608 HIGHWAY 1 RACELAND, LA 70394 | (985) 537-8377 | Critical Access Hospitals | |
LADY OF THE SEA GENERAL HOSPITAL | 200 WEST 134TH PLACE CUT OFF, LA 70345 | (985) 632-6401 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 3 | 8 | 8 | 7 | 4 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 8 | 16 | 7 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 6 + 7 + 8 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1750388740 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1467459388 | JOHN THOMAS BASKETT NP Individual | Nurse Practitioner | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1659517670 | DR. PRADEEP KRISHNAN NAIR M.D. Individual | Internal Medicine (Interventional Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1154328144 | ERIC DAVID ENGERON MD Individual | Internal Medicine (Interventional Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1245237221 | WILLIAM RICHARD LADD MD Individual | Internal Medicine (Cardiovascular Disease) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1548267529 | CRAIG MICHAEL WALKER MD Individual | Internal Medicine (Interventional Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1952308959 | ANIL KUMAR CHAGARLAMUDI MD Individual | Internal Medicine (Interventional Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1619974367 | JOHN DAVID THERIOT NP Individual | Nurse Practitioner | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1689672313 | SAMUEL JONAS STAGG III M.D. Individual | Internal Medicine (Cardiovascular Disease) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1770550857 | VINOD MANDADI NAIR M.D. Individual | Internal Medicine (Interventional Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1679807093 | KANWAR YUGRAJ SINGH MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1285631937 | GENE FRANCIS BERGERON NP Individual | Nurse Practitioner | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1437156429 | PETER STEVENS FAIL MD Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1396231726 | MS. JACQUELYN LEANNA COSTER ACNP-AG Individual | Nurse Practitioner (Acute Care) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1245837897 | ASHLEY ST. ROMAIN LANDECHE FNP Individual | Nurse Practitioner (Family) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1609141985 | SHANE PAUL PREJEAN M.D. Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1174962872 | DR. AVANEESH JAKKOJU M.D Individual | Internal Medicine (Cardiovascular Disease) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1376868000 | MATTHEW THOMAS FINN M.D, Individual | Internal Medicine (Interventional Cardiology) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1982689113 | CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC Organization | Internal Medicine (Cardiovascular Disease) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1598549800 | MISS BRIANA CAMILLE GARCIA FNP-BC Individual | Nurse Practitioner (Family) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
1740033562 | AMY SARAH WARDEN FNP Individual | Nurse Practitioner (Family) | 225 DUNN ST HOUMA, LA 70360 (985) 876-0300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750388740, enumerated in the NPI registry as an "individual" on July 05, 2005
The provider is located at 225 Dunn St Houma, La 70360 and the phone number is (985) 876-0300
The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology
The provider has more than 48 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1978.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $124.6 with an average copayment of $31.15 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Anticoagulant management of patient taking warfarin, Blood test, basic group of blood chemicals (calcium, total), Blood test, clotting time, Blood test, comprehensive group of blood chemicals, Blood test, lipids (cholesterol and triglycerides), Blood test, thyroid stimulating hormone (tsh), Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month, Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, Complete blood cell count (red cells, white blood cell, platelets), automated test, Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts, Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month, Coronary angioplasty and stenting, Ct scan of chest without contrast, Electrocardiogram (ecg) 2-day continuous with review and report by health care professional, Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional, Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Evaluation of cardiac rhythm monitor system, Evaluation of cardiac rhythm monitor system, remote up to 30 days, Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days, Evaluation of single, dual, multiple lead or leadless pacemaker system, Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days, Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days, Evaluation of single, dual, or multiple lead implantable defibrillator system, Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days, Exercise or drug-induced heart stress test with electrocardiogram (ecg), Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician, Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician, External shock to heart to regulate heart beat, Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days, Hemoglobin a1c level, Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, Injection, regadenoson, 0.1 mg, Insertion of implantable defibrillator system, Insertion of left lower heart electrode for pacemaker or defibrillator, Insertion of needle into vein for collection of blood sample, Insertion of pacemaker and upper and lower heart chamber electrode, Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch, Insertion of tube in coronary artery for diagnosis with review by radiologist, Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist, Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec, Liver enzyme (sgot), level, Liver enzyme (sgpt), level, Manual urinalysis test with examination using microscope, automated, Natriuretic peptide (heart and blood vessel protein) level, New patient office or other outpatient visit, 45-59 minutes, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Pacemaker insertion or repair, Phosphatase (enzyme) level, alkaline, Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent, Programming of dual lead implantable defibrillator system, Programming of dual lead pacemaker system, Programming of multiple lead implantable defibrillator system, Programming of multiple lead pacemaker system, Programming of single lead implantable defibrillator system, Programming of single lead pacemaker system, Removal and replacement of multiple lead defibrillator, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Sleep study including heart rate, breathing, and sleep time, Test to determine lung volumes using gas dilution or washout, Test to examine how well the lungs exchange gases, Test to measure expiratory airflow and volume, Thyroid hormone evaluation, Thyroxine (thyroid chemical), total, Transitional care management services for problem of high complexity, Transitional care management services for problem of moderate complexity, Ultrasound of both sides of head and neck blood flow, Ultrasound of heart with color-depicted blood flow, rate, direction and valve function, Ultrasound of heart, follow-up, Ultrasound of leg arteries or artery grafts, Ultrasound study of arm or leg veins with compression and maneuvers and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
The practitioner is affiliated to the following hospital(s): THIBODAUX REGIONAL MEDICAL CENTER, TERREBONNE GENERAL MEDICAL CENTER - PARISH, OCHSNER ST MARY, OCHSNER ST ANNE GENERAL HOSPITAL and LADY OF THE SEA GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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