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FREDDIE JOSEPH FANDAL JR. MD
NPI 1538128285
Family Medicine in Port Barre, LA

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
17695 HWY 190, PORT BARRE, LA 70577(337) 585-7898(337) 585-7899 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Freddie Joseph Fandal Jr. Md NPPES

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

FREDDIE JOSEPH FANDAL JR. MD (NPI 1538128285) is an individual family medicine provider in Port Barre, Louisiana, licensed in Louisiana (024781) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1997).

NPPES Registry Identity

NPI1538128285
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDDIE JOSEPH FANDAL JR.Credential: MD
Location Address17695 HWY 190Port Barre, LA 70577
Mailing AddressPo Box 1338Port Barre, LA 70577 · (337) 585-7898 · Fax (337) 585-7899
Phone(337) 585-7898
Fax(337) 585-7899
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1997
Enumeration DateMarch 21, 2006
Last NPPES UpdateDecember 8, 2010
✔ NPI 1538128285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 024781
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17695 HWY 190, Port Barre, LA 70577
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Other Identifiers 4

Medicare PIN1538128285LA
Medicare UPINH20519
Other080164292LA · Rr Medicare
Medicaid1430692LA

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

Freddie Joseph Fandal Jr. 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 ID7517931454
PECOS Enrollment IDI20050309000079
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

2

Medicare enrollment records show Freddie Fandal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Opelousas General Health System
12 mi
Surgery
703 E PRUDHOMME ST, SUITE 1
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: Opelousas General Health System Physician Practices
  • 82 clinicians in this Medicare group
NPI 1053317016 (337) 942-7192
Acadian Hospitalist Group LLC
12 mi
Internal Medicine
539 E PRUDHOMME ST
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
NPI 1487428082 (337) 948-3011

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 8

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.
868 services330 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.
514 services174 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
402 services45 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.
269 services234 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.
214 services198 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.
82 services26 patients

Hospital Affiliations CMS Care Compare

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70577 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
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.

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers15 claims260 services$3.45 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims334 services$4.16 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,508 services$0.39 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 suppliers36 claims36 services$107.10 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$35.00 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$36.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Freddie Fandal's NPI number?

The NPI number for Freddie Fandal is 1538128285. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Freddie Fandal located?

Freddie Fandal practices at 17695 Hwy 190, Port Barre, LA 70577. The listed phone number is (337) 585-7898.

What is Freddie Fandal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Freddie Fandal enrolled in Medicare?

Yes. Freddie Fandal 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.

Which organizations bill Medicare for Freddie Fandal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Freddie Fandal reassigns Medicare benefits to 2 organizations: Opelousas General Health System (Opelousas, LA) and Acadian Hospitalist Group LLC (Opelousas, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Freddie Fandal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Freddie Fandal accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Freddie Fandal 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 Freddie Fandal affiliated with any hospitals?

According to CMS data, Freddie Fandal is affiliated with Opelousas General Health System.

When was this NPI record last updated?

The NPPES record for Freddie Fandal was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.