CRAIG V BROUSSARD MD
NPI 1609838861
Internal Medicine in Lake Charles, LA

Q: What is Craig Broussard's NPI number?

The NPI number for Craig Broussard is 1609838861. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Craig Broussard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Craig Broussard was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment

77/100

CMS Quality Rating

4345 NELSON RD STE 201, LAKE CHARLES, LA 70605(337) 494-6800(337) 494-6811 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2022, Apr 21, 2022, Feb 3, 2022 (3 updates tracked since 2022).

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About Craig V Broussard Md NPPES

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

CRAIG V BROUSSARD MD (NPI 1609838861) is an individual internal medicine provider in Lake Charles, Louisiana, licensed in Louisiana (12750R) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Beeville, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1994).

NPPES Registry Identity

NPI1609838861

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCRAIG V BROUSSARDCredential: MD

Location Address4345 NELSON RD STE 201Lake Charles, LA 70605-4183

Mailing AddressPo Box 122205, Dept 2205Dallas, TX 75312-2205 · (337) 494-2772 · Fax (337) 494-2928

Phone(337) 494-6800

Fax(337) 494-6811

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1994

Enumeration DateApril 4, 2006

Last NPPES UpdateApril 27, 20223 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1609838861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in LA · 12750R

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.

4345 NELSON RD STE 201, Lake Charles, LA 70605

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Other Identifiers 2

OtherMD.12750RLA · State Medical License

Medicaid1540935LA

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

Craig V Broussard 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 ID6800854555

PECOS Enrollment IDI20241029003838

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 Reassignment

Medicare enrollment records show Craig Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Broussard Primary Care, LLC

301 mi

Internal Medicine

3301 S ALAMEDA ST STE 212
Corpus Christi, TX 78411

Reassigned Medicare billing, Texas enrollment

NPI 1538909189 (361) 452-2480

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 14

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.

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.

403 services287 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.

87 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

85 services85 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.

82 services40 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.

68 services62 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.

59 services15 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

48 services13 patients

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.

38 services11 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

31 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services21 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.

23 services20 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

22 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Spohn Hospital Beeville

Acute Care Hospitals · Beeville, TX

OwnershipVoluntary non-profit - Church

CMS Certification Number450082

Location1500 E Houston HwyBeeville, TX 78102 · Bee County

Emergency services Birthing friendly

Christus Spohn Hospital Kleberg

Acute Care Hospitals · Kingsville, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450163

Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County

Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450788

Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 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.

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.

77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

93.43

Improvement Activities

Cost

35.37

Reported Quality Measures

Advance Care Plan

100%403 patients5/55-star benchmark: 100%

Breast Cancer Screening

50%220 patients3/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

74%172 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

31%545 patients2/55-star benchmark: 88%

Diabetes: Eye Exam

48%115 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

11%115 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%2,010 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%488 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

47%827 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

84%831 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

77%724 patients5/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 4% · 750 patients

4%750 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

9%174 patients1/55-star benchmark: 98%

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 8

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

16 suppliers58 claims120 services$5.99 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers17 claims18 services$1.11 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier21 claims608 services$6.12 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 supplier13 claims6,631 services$0.32 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.05 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 suppliers40 claims43 services$109.19 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 9

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

MRS. JESSICA G ZAUNBRECHER NP

Nurse Practitioner (Family)