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

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: August 30, 2026.

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

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 Corpus Christi, 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
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

Other Identifiers 2

OtherMD.12750RLA · State Medical License
Medicaid1540935LA

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

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.

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

Hospital Affiliations CMS Care Compare 2

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces 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

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
Quality93.43
Improvement Activities40
Cost35.37

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.

Nurse Practitioner (Family)
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Internal Medicine
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Internal Medicine
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Internal Medicine
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Internal Medicine
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Internal Medicine
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Internal Medicine
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605
Nurse Practitioner (Family)
4345 NELSON RD STE 201
LAKE CHARLES, LA 70605

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 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.

Where is Craig Broussard located?

Craig Broussard practices at 4345 Nelson Rd Ste 201, Lake Charles, LA 70605. The listed phone number is (337) 494-6800.

What is Craig Broussard's specialty?

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

Is Craig Broussard enrolled in Medicare?

Yes. Craig 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 Craig Broussard accept?

Health plans from Blue Cross and Blue Shield of Texas list Craig 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 Craig Broussard affiliated with any hospitals?

According to CMS data, Craig Broussard is affiliated with Christus Spohn Hospital Corpus Christi and Christus Spohn Hospital Kleberg.

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.