DR. JOHN RICHARD BREAUX MD
NPI 1760487680
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lacombe, LA

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
64040 HIGHWAY 434, SUITE 200, LACOMBE, LA 70445(985) 882-6221(985) 882-7935 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2022, Mar 30, 2016 (2 updates tracked since 2016).

About Dr. John Richard Breaux Md NPPES

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

DR. JOHN RICHARD BREAUX MD (NPI 1760487680) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lacombe, Louisiana, licensed in Louisiana (018176) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1985).

NPPES Registry Identity

NPI1760487680
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOHN RICHARD BREAUXCredential: MD
Location Address64040 HIGHWAY 434, SUITE 200Lacombe, LA 70445-3499
Mailing Address64040 Highway 434, Suite 200Lacombe, LA 70445-3499 · (985) 882-6221 · Fax (985) 882-7935
Fax(985) 882-7935
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPI 1760487680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in LA · 018176
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

64040 HIGHWAY 434, Lacombe, LA 70445

Other Identifiers 3

Other721349588LA · Tax Id
Other00117913MS · Medicaid
Medicaid1385221LA

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. John Richard Breaux 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 ID1557321775
PECOS Enrollment IDI20041013000011
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 9

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.

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.
49 services49 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
23 services23 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services23 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70445 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Physician Assistant (Medical)
64040 HIGHWAY 434, STE 200
LACOMBE, LA 70445
Clinic/Center (Sleep Disorder Diagnostic)
64040 HIGHWAY 434, SUITE 102
LACOMBE, LA 70445
Internal Medicine (Cardiovascular Disease)
64040 HIGHWAY 434, SUITE 101
LACOMBE, LA 70445
Internal Medicine (Cardiovascular Disease)
64040 HIGHWAY 434, SUITE 200
LACOMBE, LA 70445
Clinic/Center (Sleep Disorder Diagnostic)
64040 HIGHWAY 434, SUITE 102
LACOMBE, LA 70445
Internal Medicine (Cardiovascular Disease)
64040 HIGHWAY 434, SUITE 101
LACOMBE, LA 70445
Family Medicine
64040 HIGHWAY 434, SUITE 200
LACOMBE, LA 70445
Internal Medicine (Clinical Cardiac Electrophysiology)
64040 HIGHWAY 434, SUITE 200
LACOMBE, LA 70445

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 John Breaux's NPI number?

The NPI number for John Breaux is 1760487680. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is John Breaux located?

John Breaux practices at 64040 Highway 434 Suite 200, Lacombe, LA 70445. The listed phone number is (985) 882-6221.

What is John Breaux's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is John Breaux enrolled in Medicare?

Yes. John Breaux 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 John Breaux accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list John Breaux 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 John Breaux affiliated with any hospitals?

According to CMS data, John Breaux is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for John Breaux was last updated on January 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.