DR. ERIC CHARLES FONTENOT M.D.
NPI 1083931646
Internal Medicine - Gastroenterology in Lake Charles, LA

Q: What is Eric Fontenot's NPI number?

The NPI number for Eric Fontenot is 1083931646. It was assigned to this individual provider in the NPPES registry on April 22, 2010.

Q: What is Eric Fontenot's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Eric Fontenot was last updated on April 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2010PECOS EnrolledAccepts Medicare Assignment

73.52/100

CMS Quality Rating

2770 3RD AVE STE 345, LAKE CHARLES, LA 70601(337) 494-4785(337) 494-4786 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2022, Feb 4, 2022, Dec 14, 2020 and 1 more (4 updates tracked since 2018).

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About Dr. Eric Charles Fontenot M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC CHARLES FONTENOT M.D. (NPI 1083931646) is an individual gastroenterology provider in Lake Charles, Louisiana, licensed in Louisiana (MD.206793) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083931646

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ERIC CHARLES FONTENOTCredential: M.D.

Location Address2770 3RD AVE STE 345Lake Charles, LA 70601-8994

Mailing AddressPo Box 122623 Dept 2623Dallas, TX 75312-0001 · (337) 494-2921 · Fax (337) 494-6523

Phone(337) 494-4785

Fax(337) 494-4786

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2010

Enumeration DateApril 22, 2010

Last NPPES UpdateApril 27, 20224 updates tracked since enumeration

NPPES CertifiedMarch 16, 2022

✔ NPI 1083931646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in LA · MD.206793

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2770 3RD AVE STE 345, Lake Charles, LA 70601

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Secondary Practice Locations 2

Location 11890 W Gauthier RdLake Charles, LA 70605-7179 · Phone (337) 494-4785

Location 2555 Dr Michael Debakey Dr Ste 101Lake Charles, LA 70601-5700 · Phone (337) 439-0762 · Fax (337) 439-9253

Other Identifiers 2

OtherMD.206793LA · State License

Medicaid2361325LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric Charles Fontenot M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901045541

PECOS Enrollment IDI20170726003485

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This 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.

150 services126 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This 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.

145 services127 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

136 services136 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This 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.

123 services123 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

117 services115 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

84 services53 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

79 services79 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

61 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services41 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

41 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services24 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

21 services21 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

20 services20 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

19 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

14 services14 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190013

Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County

Emergency services Birthing friendly

Christus Ochsner St Patrick Hospital

Acute Care Hospitals · Lake Charles, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190027

Location524 Dr Michael Debakey DriveLake Charles, LA 70601 · Calcasieu County

Emergency services

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190050

Location600 S Pine StreetDeridder, LA 70634 · Beauregard County

Emergency services Birthing friendly

Ochsner American Legion Hospital

Acute Care Hospitals · Jennings, LA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190053

Location1634 Elton RoadJennings, LA 70546 · Jeffrson Davis County

Emergency services Birthing friendly

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190060

Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

88.72

Improvement Activities

Cost

26.79

Reported Quality Measures

Advance Care Plan

100%471 patients5/55-star benchmark: 100%

Age Appropriate Screening Colonoscopy

Lower rates are better for this measure.

0%1,579 patients

Closing the Referral Loop: Receipt of Specialist Report

79%332 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

68%782 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

100%1,707 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

88%1,263 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCISCO JOSE MARRERO MD

Internal Medicine (Gastroenterology)