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STEPHEN ALLEN CHAMPLIN MD
NPI 1255383147
Obstetrics & Gynecology in Metairie, LA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
4228 HOUMA BLVD, STE 410, METAIRIE, LA 70006(504) 883-3770(504) 883-3711 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2019, Jan 19, 2017 (2 updates tracked since 2017).

About Stephen Allen Champlin Md NPPES

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

STEPHEN ALLEN CHAMPLIN MD (NPI 1255383147) is an individual obstetrics & gynecology provider in Metairie, Louisiana, licensed in Louisiana (MD09202R) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of University Of Alabama School Of Medicine (1991).

NPPES Registry Identity

NPI1255383147
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSTEPHEN ALLEN CHAMPLINCredential: MD
Location Address4228 HOUMA BLVD, STE 410Metairie, LA 70006-3021
Mailing Address4228 Houma Blvd, Ste 410Metairie, LA 70006-3021 · (504) 883-3770 · Fax (504) 883-3711
Phone(504) 883-3770
Fax(504) 883-3711
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1991
Enumeration DateMay 17, 2006
Last NPPES UpdateJanuary 24, 20192 updates tracked since enumeration
✔ NPI 1255383147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · MD09202R
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4228 HOUMA BLVD, Metairie, LA 70006
Open in Google Maps ↗

Other Identifiers 1

Medicaid1997978LA

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

Stephen Allen Champlin 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 ID42367369
PECOS Enrollment IDI20090402000319
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 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.

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.
114 services83 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
17 services15 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 services15 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JACOB GENERAL SURGERY, LLC
Surgery
4228 HOUMA BLVD, SUITE 220
METAIRIE, LA 70006
Jefferson Parish (504) 264-9353
GARRETT WAX AGACNP-BC
Nurse Practitioner (Acute Care)
4228 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
BENNIE PETER NOBLES JR. MD
Obstetrics & Gynecology
4228 HOUMA BLVD, STE 410
METAIRIE, LA 70006
Jefferson Parish (504) 883-3770
MRS. DENISE CHATELAIN CRAWFORD R.N.F.A.
Registered Nurse (Registered Nurse First Assistant)
4228 HOUMA BLVD, SUITE 510
METAIRIE, LA 70006
Jefferson Parish (504) 454-0141
DR. THORKELL EINARSSON MD
Student in an Organized Health Care Education/Training Program
4228 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-7878
DR. JOHN F NITSCHE M.D.
Internal Medicine (Rheumatology)
4228 HOUMA BLVD, SUITE 600B
METAIRIE, LA 70006
Jefferson Parish (504) 454-2191
R. DANIEL JACOB, M.D.,A.P.M.C.
Otolaryngology
4228 HOUMA BLVD, SUITE 340
METAIRIE, LA 70006
Jefferson Parish (504) 454-3611
DR. RICHARD EDWARD BRIDGES M.D.
Family Medicine
4228 HOUMA BLVD, STE 200
METAIRIE, LA 70006
Jefferson Parish (504) 454-7878

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 Stephen Champlin's NPI number?

The NPI number for Stephen Champlin is 1255383147. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Stephen Champlin located?

Stephen Champlin practices at 4228 Houma Blvd Ste 410, Metairie, LA 70006. The listed phone number is (504) 883-3770.

What is Stephen Champlin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stephen Champlin enrolled in Medicare?

Yes. Stephen Champlin 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.

What insurance does Stephen Champlin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Stephen Champlin 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 Stephen Champlin affiliated with any hospitals?

According to CMS data, Stephen Champlin is affiliated with Ochsner Medical Center Acute, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Champlin was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.