1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Psychiatry Neurology
  6. NPI Profile

JASON BROUSSARD D.O.
NPI 1376744771
Psychiatry & Neurology - Psychiatry in Shreveport, LA

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
1111 LINE AVE FL 3, SHREVEPORT, LA 71101(318) 716-4610(318) 716-4690 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2022, Jun 21, 2021 (2 updates tracked since 2021).

About Jason Broussard D.o. NPPES

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

JASON BROUSSARD D.O. (NPI 1376744771) is an individual psychiatry provider in Shreveport, Louisiana, licensed in Louisiana (DO.000136) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2006).

NPPES Registry Identity

NPI1376744771
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJASON BROUSSARDCredential: D.O.
Location Address1111 LINE AVE FL 3Shreveport, LA 71101-3841
Mailing Address1111 Line Ave Fl 3Shreveport, LA 71101-3841 · (318) 716-4610 · Fax (318) 716-4690
Phone(318) 716-4610
Fax(318) 716-4690
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2006
Enumeration DateMay 31, 2007
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1376744771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in LA · DO.000136
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1111 LINE AVE FL 3, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 1

Medicaid1079243LA

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

Jason Broussard D.o. 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 ID2769508902
PECOS Enrollment IDI20100925000012, I20250220002266
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 6

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 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.
845 services239 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.
451 services209 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
114 services107 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
83 services80 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.
20 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Beacham Memorial Hospital

Acute Care Hospitals · Magnolia, MS
OwnershipProprietary
CMS Certification Number250049
Location205 N Cherry Street / PO Box 351Magnolia, MS 39652 · Pike County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71101 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%114 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%244 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%120 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%108 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%81 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%121 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

ANNA MICHELE WREN NP
Nurse Practitioner (Psychiatric/Mental Health)
1111 LINE AVE FL 3
SHREVEPORT, LA 71101
Caddo Parish (318) 716-4610
REBECCA ELIZABETH PISTORIUS MD
Psychiatry & Neurology (Psychiatry)
1111 LINE AVE FL 3
SHREVEPORT, LA 71101
Caddo Parish (318) 716-4610
MRS. DEVANSHI K. JANI MD
Psychiatry & Neurology (Psychiatry)
1111 LINE AVE FL 3
SHREVEPORT, LA 71101
Caddo Parish (318) 716-4610

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 Jason Broussard's NPI number?

The NPI number for Jason Broussard is 1376744771. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Jason Broussard located?

Jason Broussard practices at 1111 Line Ave Fl 3, Shreveport, LA 71101. The listed phone number is (318) 716-4610.

What is Jason Broussard's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jason Broussard enrolled in Medicare?

Yes. Jason Broussard 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 Jason Broussard 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 1 other insurer list Jason Broussard 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 Jason Broussard affiliated with any hospitals?

According to CMS data, Jason Broussard is affiliated with Willis Knighton Medical Center and Beacham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jason Broussard was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.