DR. JIMMY R COUGHRAN MD
NPI 1568438323
Family Medicine in Winnsboro, LA

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
101 FAIR AVENUE, WINNSBORO, LA 71295(318) 435-8020(318) 435-8099 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jimmy R Coughran Md NPPES

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

DR. JIMMY R COUGHRAN MD (NPI 1568438323) is an individual family medicine provider in Winnsboro, Louisiana, licensed in Louisiana (021579) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1992).

NPPES Registry Identity

NPI1568438323
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JIMMY R COUGHRANCredential: MD
Location Address101 FAIR AVENUEWinnsboro, LA 71295-2116
Mailing AddressPo Box 730Winnsboro, LA 71295-0730 · (318) 435-8020 · Fax (318) 435-8099
Fax(318) 435-8099
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1992
Enumeration DateFebruary 23, 2006
Last NPPES UpdateDecember 12, 2012
NPI 1568438323 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 · 021579
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.
101 FAIR AVENUE, Winnsboro, LA 71295

Other Identifiers 8

Medicare ID-Type Unspecified080140677LA · Railroad Medicare
Medicare ID-Type Unspecified5CN24LA · Group Medicare Number
OtherL92023LA · Vantage Provider
Medicare ID-Type Unspecified5R987LA · Individual Medicare Numbe
Medicaid1449130LA
Other5287021LA · Aetna Provider Number
Medicare UPINF69266LA
Medicaid1971391LA

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. Jimmy R Coughran 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 ID5294783874
PECOS Enrollment IDI20050112000000
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 51

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
2,870 services452 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
1,338 services383 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,114 services103 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
1,030 services160 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
964 services242 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
860 services361 patients

Hospital Affiliations CMS Care Compare 5

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Franklin Medical Center

Acute Care Hospitals · Winnsboro, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190140
Location2106 Loop RoadWinnsboro, LA 71295 · Franklin County
Emergency services

Citizens Medical Center

Acute Care Hospitals · Columbia, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190184
Location7939 U S Hwy 165 SouthColumbia, LA 71418 · Caldwell County
Emergency services

Caldwell Memorial Hospital, Inc

Acute Care Hospitals · Columbia, LA
OwnershipProprietary
CMS Certification Number190190
Location411 Main StreetColumbia, LA 71418 · Caldwell County

Monroe Surgical Hospital

Acute Care Hospitals · Monroe, LA
OwnershipProprietary
CMS Certification Number190245
Location2408 Broadmoor BlvdMonroe, LA 71201 · Ouachita County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71295 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.

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

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.
96%1,337 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%236 patients3/55-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.
91%645 patients4/55-star benchmark: 99%
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…
100%293 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…
67%645 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
39%645 patients3/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 20

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
9 suppliers52 claims128 services$6.92 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims31 services$1.17 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers16 claims31 services$1.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers12 claims32 services$41.11 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims63 services$24.63 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 2

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

Nurse Practitioner (Family)
101 FAIR AVENUE
WINNSBORO, LA 71295
Family Medicine
101 FAIR AVENUE
WINNSBORO, LA 71295

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 Jimmy Coughran's NPI number?

The NPI number for Jimmy Coughran is 1568438323. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Jimmy Coughran located?

Jimmy Coughran practices at 101 Fair Avenue, Winnsboro, LA 71295. The listed phone number is (318) 435-8020.

What is Jimmy Coughran's specialty?

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

Is Jimmy Coughran enrolled in Medicare?

Yes. Jimmy Coughran 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 Jimmy Coughran accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jimmy Coughran 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 Jimmy Coughran affiliated with any hospitals?

According to CMS data, Jimmy Coughran is affiliated with St Francis Medical Center, Franklin Medical Center, Citizens Medical Center, Caldwell Memorial Hospital, Inc and Monroe Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Jimmy Coughran was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.