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DR. CARL J RICHARD M.D.
NPI 1619027232
Family Medicine in Kaplan, LA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
204 JACKSON AVE, KAPLAN, LA 70548(337) 643-8583(337) 673-2874 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl J Richard M.d. NPPES

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

DR. CARL J RICHARD M.D. (NPI 1619027232) is an individual family medicine provider in Kaplan, Louisiana, licensed in Louisiana (012524) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1973).

NPPES Registry Identity

NPI1619027232
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARL J RICHARDCredential: M.D.
Location Address204 JACKSON AVEKaplan, LA 70548-3920
Mailing Address1305 Crowley Rayne HwyCrowley, LA 70526-8202 · (337) 788-6407 · Fax (337) 788-6598
Phone(337) 643-8583
Fax(337) 673-2874
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1973
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1619027232 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 · 012524
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.
204 JACKSON AVE, Kaplan, LA 70548
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Other Identifiers 3

Medicare UPINB65545
Medicaid1151351LA
Medicare ID-Type Unspecified54979D059

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, UnitedHealthcare.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. Carl J Richard M.d. 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 ID9234254483
PECOS Enrollment IDI20100913000303
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 4

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 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.
334 services133 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.
302 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
82 services80 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

Abrom Kaplan Memorial Hospital

Critical Access Hospitals · Kaplan, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191322
Location1310 West Seventh StreetKaplan, LA 70548 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70548 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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers50 claims103 services$5.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims18 services$1.00 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier12 claims12 services$14.12 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier12 claims63 services$1.84 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 claims5,609 services$0.32 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims16 services$31.32 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

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

CARL J RICHARD, M.D.
Clinic/Center
204 JACKSON AVE
KAPLAN, LA 70548
Vermilion Parish (337) 643-8583

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 Carl Richard's NPI number?

The NPI number for Carl Richard is 1619027232. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Carl Richard located?

Carl Richard practices at 204 Jackson Ave, Kaplan, LA 70548. The listed phone number is (337) 643-8583.

What is Carl Richard's specialty?

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

Is Carl Richard enrolled in Medicare?

Yes. Carl Richard 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 Carl Richard accept?

Health plans from Blue Cross and Blue Shield of Louisiana and UnitedHealthcare list Carl Richard 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 Carl Richard affiliated with any hospitals?

According to CMS data, Carl Richard is affiliated with Ochsner Lafayette General Medical Center, Acadia General Hospital and Abrom Kaplan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carl Richard was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.