DR. FIDENCIO HERNAN DAVALOS M.D.
NPI 1265872725
Internal Medicine - Critical Care Medicine in Lake Charles, LA

Q: What is Fidencio Davalos's NPI number?

The NPI number for Fidencio Davalos is 1265872725. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Q: What is Fidencio Davalos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Fidencio Davalos was last updated on March 16, 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.

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment

2770 3RD AVE STE 350, LAKE CHARLES, LA 70601(337) 494-2750(337) 494-2760 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2020, Nov 17, 2020, Jul 16, 2020 and 3 more (6 updates tracked since 2018).

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About Dr. Fidencio Hernan Davalos M.d. NPPES

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

DR. FIDENCIO HERNAN DAVALOS M.D. (NPI 1265872725) is an individual critical care medicine provider in Lake Charles, Louisiana, licensed in New York (287474) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265872725

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. FIDENCIO HERNAN DAVALOSCredential: M.D.

Location Address2770 3RD AVE STE 350Lake Charles, LA 70601-0404

Mailing AddressPo Box 122309 Dept 2309Dallas, TX 75312-0001 · (337) 494-2772 · Fax (337) 494-2928

Phone(337) 494-2750

Fax(337) 494-2760

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJune 28, 2013

Last NPPES UpdateMarch 16, 20226 updates tracked since enumeration

NPPES CertifiedMarch 16, 2022

✔ NPI 1265872725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in NY · 287474✔ Licensed in LA · 322076

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD2017-0687 (NM)

2770 3RD AVE STE 350, Lake Charles, LA 70601

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Other Identifiers 2

OtherMD.322076LA · State Medical License

Medicaid2528696LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Superior HealthPlan and more.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

Dr. Fidencio Hernan Davalos 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 ID749553550

PECOS Enrollment IDI20200713002015

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

Medicare enrollment records show Fidencio Davalos reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lcms Pulmonary Associates Of Southwest Louisiana

Same address

Pulmonary Disease

2770 3RD AVE STE 350
Lake Charles, LA 70601

Reassigned Medicare billing, Louisiana enrollment
12 clinicians in this Medicare group

NPI 1508175704 (337) 494-2750

Professional Emergency Medicine Management -- Lake Charles LLC

0.1 mi

Emergency Medicine

1701 OAK PARK BLVD, EMERGENCY DEPT
Lake Charles, LA 70601

Reassigned Medicare billing, Louisiana enrollment
167 clinicians in this Medicare group

NPI 1023430766 (337) 494-3036

Calcasieu Cameron Hospital Service District

7.8 mi

General Acute Care Hospital

301 S CITIES SERVICE HWY
Sulphur, LA 70663

Reassigned Medicare billing, Louisiana enrollment
60 clinicians in this Medicare group

NPI 1083992382 (337) 527-6416

Metropolitan Medical Practice Plan PC

1,303 mi

General Practice

1901 1ST AVE
New York, NY 10029

Reassigned Medicare billing, New York enrollment
623 clinicians in this Medicare group

NPI 1306138383 (212) 423-7337

Harlem Medical Associates PC

1,304 mi

General Practice

506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037

Reassigned Medicare billing, New York enrollment
676 clinicians in this Medicare group

NPI 1487957692 (631) 675-9300

Westchester Medical Center Advanced Physician Services PC

1,319 mi

Anesthesiology

100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595

Reassigned Medicare billing, New York enrollment
1,663 clinicians in this Medicare group

NPI 1740687458 (914) 493-2844

Cogent Medical Care PC

1,348 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

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 27

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.

889 services509 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.

408 services170 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.

366 services176 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

192 services192 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

187 services187 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

115 services115 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

105 services105 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

95 services93 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

69 services66 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.

65 services61 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

52 services52 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

35 services34 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

29 services29 patients

Inhalation treatment for acute airway obstruction, first hour 94644

Inhalation treatment for acute airway obstruction involves using medication delivered through a device to help open your airways. This treatment is typically given over an hour. It can alleviate symptoms like shortness of breath, wheezing, and coughing, making breathing easier.

29 services27 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

26 services21 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

24 services19 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

18 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

16 services16 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

14 services14 patients

Initial therapy service to facilitate lung function 94667

Initial therapy service for lung function involves exercises and techniques to improve breathing. This can include learning how to properly use inhalers, practicing deep breathing exercises, and even physical activity to strengthen the lungs.

14 services14 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

13 services13 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

13 services13 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.

13 services13 patients

Test to determine lung volumes using sensors 94726

12 services12 patients

Test to examine how well the lungs exchange gases 94729

12 services12 patients

Test to measure expiratory airflow and volume 94010

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier11 claims44 services$2.77 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers34 claims35 services$18.21 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers23 claims23 services$779.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers17 claims17 services$6.60 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier29 claims29 services$43.58 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers67 claims68 services$102.39 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 15

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

JUSTIN BOHANNAN AG-ACNP

Nurse Practitioner (Acute Care)