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

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: July 19, 2026.

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

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
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

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

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

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.

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

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.

Internal Medicine (Pulmonary Disease)
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Nurse Practitioner (Acute Care)
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Internal Medicine
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Nurse Practitioner (Adult Health)
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Internal Medicine (Pulmonary Disease)
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601
Nurse Practitioner
2770 3RD AVE STE 350
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265872725, enumerated as an "individual" on June 28, 2013.

The provider is located at 2770 3RD AVE STE 350 LAKE CHARLES, LA 70601 and the phone number is (337) 494-2750.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.

Fidencio Davalos is affiliated with: WEST CALCASIEU CAMERON HOSPITAL, CHRISTUS OCHSNER ST PATRICK HOSPITAL, OCHSNER AMERICAN LEGION HOSPITAL and LAKE CHARLES MEMORIAL HOSPITAL.