PETER KLUCAR MD
NPI 1104322833
Family Medicine in Shreveport, LA

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
9111 SUSAN DR, SHREVEPORT, LA 71118(318) 212-5969(318) 212-5979 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Oct 18, 2023, Jul 22, 2021 (3 updates tracked since 2021).

About Peter Klucar Md NPPES

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

PETER KLUCAR MD (NPI 1104322833) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (327839) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104322833
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER KLUCARCredential: MD
Location Address9111 SUSAN DRShreveport, LA 71118-3136
Mailing Address9111 Susan DrShreveport, LA 71118-3136 · (318) 212-5969 · Fax (318) 212-5979
Fax(318) 212-5979
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1104322833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 327839
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9111 SUSAN DR, Shreveport, LA 71118

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Klucar Md 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 ID3870843626
PECOS Enrollment IDI20210720000579
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peter Klucar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
9111 SUSAN DR
Shreveport, LA 71118
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
Family Medicine
8001 YOUREE DR, SUITE 540
Shreveport, LA 71115
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71118 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Women's Health)
9111 SUSAN DR
SHREVEPORT, LA 71118
Obstetrics & Gynecology
9111 SUSAN DR
SHREVEPORT, LA 71118
Family Medicine
9111 SUSAN DR
SHREVEPORT, LA 71118
Obstetrics & Gynecology
9111 SUSAN DR
SHREVEPORT, LA 71118
Nurse Practitioner (Family)
9111 SUSAN DR
SHREVEPORT, LA 71118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Klucar's NPI number?

The NPI number for Peter Klucar is 1104322833. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Peter Klucar located?

Peter Klucar practices at 9111 Susan Dr, Shreveport, LA 71118. The listed phone number is (318) 212-5969.

What is Peter Klucar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Klucar enrolled in Medicare?

Yes. Peter Klucar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Peter Klucar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Klucar reassigns Medicare benefits to 3 organizations: Wk Pines Road Family Medicine (Shreveport, LA), Wk Pierremont Family Physicians (Shreveport, LA) and Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Klucar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Klucar accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana and UnitedHealthcare list Peter Klucar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Klucar affiliated with any hospitals?

According to CMS data, Peter Klucar is affiliated with Christus Shreveport-Bossier Health System and Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Klucar was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.