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DR. JEFFREY JOHN COMBETTA M.D.
NPI 1740310754
Family Medicine in Winnsboro, LA

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
30.8/100
CMS Quality Rating
2104 LOOP RD, SUITE C, WINNSBORO, LA 71295(318) 435-4571(318) 435-7458 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2020, Jan 4, 2019, Sep 10, 2018 (3 updates tracked since 2018).

About Dr. Jeffrey John Combetta M.d. NPPES

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

DR. JEFFREY JOHN COMBETTA M.D. (NPI 1740310754) is an individual family medicine provider in Winnsboro, Louisiana, licensed in Louisiana (203014) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Franklin Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740310754
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY JOHN COMBETTACredential: M.D.
Location Address2104 LOOP RD, SUITE CWinnsboro, LA 71295-3338
Mailing Address2104 Loop Rd, Suite CWinnsboro, LA 71295-3338 · (318) 435-4571 · Fax (318) 435-7458
Phone(318) 435-4571
Fax(318) 435-7458
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 22, 20203 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1740310754 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 · 203014
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.
2104 LOOP RD, Winnsboro, LA 71295
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1206 Boots Road, 206 Boots RoadFarmerville, LA 71241-7124 · Phone (318) 620-0467
Location 2125 Saint Charles AvenueMonroe, LA 71203-8920 · Phone (318) 435-4571

Other Identifiers 3

OtherMD.203014LA · License
Medicaid1501174LA
Other12125071Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO 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. Jeffrey John Combetta 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 ID7618021361
PECOS Enrollment IDI20090815000018
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.

Hospital Affiliations CMS Care Compare

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

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

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.

30.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0

Reported Quality Measures

Breast Cancer Screening
32%28 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
5%43 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
93%179 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%120 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 71 patients
0%71 patients
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 28

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 suppliers32 claims72 services$6.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims29 services$1.20 avg. paid by Medicare
Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$6.78 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$28.09 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$8.66 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers19 claims1,272 services$0.10 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 3

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

MS. JEAN ANNE BLACK LCSW
Social Worker (Clinical)
2104 LOOP RD, SUITE C
WINNSBORO, LA 71295
Franklin Parish (318) 435-4571
TRACY MINCHEW JORDAN FNP
Nurse Practitioner
2104 LOOP RD, SUITE C
WINNSBORO, LA 71295
Franklin Parish (318) 435-4571
VERNON T. BALDWIN, M.D.,P.C.
Clinic/Center (Primary Care)
2104 LOOP RD, SUITE E
WINNSBORO, LA 71295
Franklin Parish (318) 435-4084

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 Jeffrey Combetta's NPI number?

The NPI number for Jeffrey Combetta is 1740310754. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Jeffrey Combetta located?

Jeffrey Combetta practices at 2104 Loop Rd Suite C, Winnsboro, LA 71295. The listed phone number is (318) 435-4571.

What is Jeffrey Combetta's specialty?

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

Is Jeffrey Combetta enrolled in Medicare?

Yes. Jeffrey Combetta 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 Jeffrey Combetta accept?

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

According to CMS data, Jeffrey Combetta is affiliated with Franklin Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Combetta was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.