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EMILY CHARLIE
NPI 1295196194
Internal Medicine in Lafayette, LA

Active since March 19, 2016PECOS EnrolledAccepts Medicare Assignment
155 HOSPITAL DR STE 205, LAFAYETTE, LA 70503(337) 484-1091(337) 484-1092 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Mar 19, 2016 (2 updates tracked since 2016).

About Emily Charlie NPPES

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

EMILY CHARLIE (NPI 1295196194) is an individual internal medicine provider in Lafayette, Louisiana, licensed in Louisiana (307726) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Abrom Kaplan Memorial Hospital, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1295196194
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEMILY CHARLIE
Location Address155 HOSPITAL DR STE 205Lafayette, LA 70503-2852
Mailing Address155 Hospital Dr Ste 205Lafayette, LA 70503-2852 · (374) 841-0913 · Fax (337) 484-1092
Phone(337) 484-1091
Fax(337) 484-1092
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 19, 2016
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1295196194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 307726
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
155 HOSPITAL DR STE 205, Lafayette, LA 70503
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Secondary Practice Location 1

Location 12390 W Congress StLafayette, LA 70506-4205 · Phone (337) 261-6000

Accepted Insurance

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

Emily Charlie 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 ID42518516
PECOS Enrollment IDI20190712000467
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
68 services16 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.
38 services17 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.
37 services36 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.
25 services22 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.
23 services15 patients

Hospital Affiliations CMS Care Compare

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

Abrom Kaplan Memorial Hospital

Critical Access Hospitals · Kaplan, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191322
Location1310 West Seventh StreetKaplan, LA 70548 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims24 services$5.79 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
2 suppliers27 claims28 services$81.93 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$34.13 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$103.09 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

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

CHARLIE INTERNAL MEDICINE GROUP INCORPORATED
Internal Medicine
155 HOSPITAL DR STE 205
LAFAYETTE, LA 70503
Lafayette Parish (601) 549-1735

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 Emily Charlie's NPI number?

The NPI number for Emily Charlie is 1295196194. It was assigned to this individual provider in the NPPES registry on March 19, 2016.

Where is Emily Charlie located?

Emily Charlie practices at 155 Hospital Dr Ste 205, Lafayette, LA 70503. The listed phone number is (337) 484-1091.

What is Emily Charlie's specialty?

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

Is Emily Charlie enrolled in Medicare?

Yes. Emily Charlie 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 Emily Charlie accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Emily Charlie 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 Emily Charlie affiliated with any hospitals?

According to CMS data, Emily Charlie is affiliated with Abrom Kaplan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Emily Charlie was last updated on June 11, 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.