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CARL EDWIN DUCHARME D.O.
NPI 1154642999
Internal Medicine in Southlake, TX

Active since June 16, 2010Opted out of Medicare · through Jan 1, 2027
900 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092(817) 310-6050(817) 310-6051 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2022, Sep 22, 2017 (2 updates tracked since 2017).

About Carl Edwin Ducharme D.o. NPPES

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

CARL EDWIN DUCHARME D.O. (NPI 1154642999) is an individual internal medicine provider in Southlake, Texas, licensed in Texas (S6824) and active in the NPI registry since June 2010. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154642999
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARL EDWIN DUCHARMECredential: D.O.
Location Address900 E SOUTHLAKE BLVD STE 200Southlake, TX 76092-6376
Mailing Address900 E Southlake Blvd Ste 200Southlake, TX 76092-6376 · (817) 310-6050 · Fax (817) 310-6051
Phone(817) 310-6050
Fax(817) 310-6051
Sole ProprietorNo
Enumeration DateJune 16, 2010
Last NPPES UpdateDecember 11, 20222 updates tracked since enumeration
NPPES CertifiedDecember 11, 2022
✔ NPI 1154642999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S6824
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
900 E SOUTHLAKE BLVD STE 200, Southlake, TX 76092
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carl Edwin Ducharme D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$32.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carl Ducharme's NPI number?

The NPI number for Carl Ducharme is 1154642999. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Carl Ducharme located?

Carl Ducharme practices at 900 E Southlake Blvd Ste 200, Southlake, TX 76092. The listed phone number is (817) 310-6050.

What is Carl Ducharme's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carl Ducharme enrolled in Medicare?

No. Carl Ducharme has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carl Ducharme was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.