DR. CANDICE B ABUSO MD
NPI 1780670489
Internal Medicine in Harvey, LA

Q: What is Candice Abuso's NPI number?

The NPI number for Candice Abuso is 1780670489. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Q: What is Candice Abuso'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 Candice Abuso was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 27, 2005PECOS EnrolledAccepts Medicare Assignment

96.9/100

CMS Quality Rating

2845 MANHATTAN BLVD, HARVEY, LA 70058(504) 349-6930(504) 361-5496 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Candice B Abuso Md NPPES

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

DR. CANDICE B ABUSO MD (NPI 1780670489) is an individual internal medicine provider in Harvey, Louisiana, licensed in Louisiana (13507R) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1997).

NPPES Registry Identity

NPI1780670489

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CANDICE B ABUSOCredential: MD

Location Address2845 MANHATTAN BLVDHarvey, LA 70058-2987

Mailing Address1101 Medical Center Blvd, Attn: Heidi GwinnMarrero, LA 70072-3147 · (504) 349-1297 · Fax (504) 349-1146

Phone(504) 349-6930

Fax(504) 361-5496

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1997

Enumeration DateSeptember 27, 2005

Last NPPES UpdateFebruary 3, 2014

✔ NPI 1780670489 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 · 13507R

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.

2845 MANHATTAN BLVD, Harvey, LA 70058

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Other Identifiers 3

Medicare PIN5H337LA

Medicare UPINH16501LA

Medicaid1429091LA

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 Magnolia Health and more.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. Candice B Abuso 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 ID5890838809

PECOS Enrollment IDI20100129000429

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 3

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.

311 services165 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.

77 services65 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190039

Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70058 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

$128.88 typical visit price

range $55.50 – $170.30

Typical copayment $32.22 (range $13.87 – $42.57)

Most-billed visit code 99204

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

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.

96.9/100

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

Scored through an Alternative Payment Model

Quality

77.77

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%89 patients5/55-star benchmark: 100%

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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers19 claims20 services$19.29 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims2,925 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$175.85 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier13 claims13 services$22.01 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 6

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

WEST JEFFERSON PHYSICIAN SERVICES

Internal Medicine