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TIFFANY MARY DUFRENE M.D.
NPI 1225535818
Family Medicine in Lake Charles, LA

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1525 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 494-6767(337) 494-6750 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2022, Feb 4, 2022, Jan 6, 2022 and 2 more (5 updates tracked since 2018).

About Tiffany Mary Dufrene M.d. NPPES

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

TIFFANY MARY DUFRENE M.D. (NPI 1225535818) is an individual family medicine provider in Lake Charles, Louisiana, licensed in Louisiana (325402) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2018).

NPPES Registry Identity

NPI1225535818
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIFFANY MARY DUFRENECredential: M.D.
Location Address1525 OAK PARK BLVDLake Charles, LA 70601-8849
Mailing AddressPo Box 123453 Dept 3453Dallas, TX 75312-0001 · (337) 494-2772 · Fax (337) 494-2928
Phone(337) 494-6767
Fax(337) 494-6750
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateApril 27, 20225 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1225535818 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 · 325402
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.
1525 OAK PARK BLVD, Lake Charles, LA 70601
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Other Identifiers 1

Other325402LA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Tiffany Mary Dufrene 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 ID5991053043
PECOS Enrollment IDI20220121001573
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

2

Medicare enrollment records show Tiffany Dufrene reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lsuhsc Family Practice Center @ Lcmh
Same address
Family Medicine
1525 OAK PARK BLVD
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 12 clinicians in this Medicare group
NPI 1073514493 (337) 494-6767
Thibodaux Regional Network Development Corporation
120 mi
Family Medicine
3928 HIGHWAY 70 S
Pierre Part, LA 70339
  • Reassigned Medicare billing, Louisiana enrollment
  • 179 clinicians in this Medicare group
NPI 1790561868 (985) 369-6070

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

Areas of Expertise CMS Part B claims 5

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.

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.
86 services44 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.
44 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services16 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche 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
$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.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Other Providers at the Same Location NPPES 20

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

DR. HANNAH ALEXIS CANTER DO
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2023
KATELYN ELIZABETH CARRELL MD
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
TANNER JAMES MARCEAUX DO
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2202
DR. JOSEPH PAUL STRINGFELLOW DO
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2023
RICHA SHARMA M.D.
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
LSUHSC FAMILY PRACTICE CENTER @ LCMH
Family Medicine
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
MS. NAOMI CHERIAN M.D.
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-6767
DR. SHREYAS VENKAT PEDDIGARI MD
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 494-2023

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 Tiffany Dufrene's NPI number?

The NPI number for Tiffany Dufrene is 1225535818. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Tiffany Dufrene located?

Tiffany Dufrene practices at 1525 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 494-6767.

What is Tiffany Dufrene's specialty?

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

Is Tiffany Dufrene enrolled in Medicare?

Yes. Tiffany Dufrene 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 Tiffany Dufrene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Dufrene reassigns Medicare benefits to 2 organizations: Lsuhsc Family Practice Center @ Lcmh (Lake Charles, LA) and Thibodaux Regional Network Development Corporation (Pierre Part, 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 Tiffany Dufrene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Dufrene accept?

Health plans from HMO Louisiana list Tiffany Dufrene 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 Tiffany Dufrene affiliated with any hospitals?

According to CMS data, Tiffany Dufrene is affiliated with Thibodaux Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Dufrene was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.