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JAMES M HOUSER MD
NPI 1821096181
Psychiatry & Neurology - Neurology in Lacombe, LA

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
56.7/100
CMS Quality Rating
64301 HWY 434, LACOMBE, LA 70445(985) 882-4500(985) 882-4501 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James M Houser Md NPPES

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

JAMES M HOUSER MD (NPI 1821096181) is an individual neurology provider in Lacombe, Louisiana, licensed in Louisiana (019897) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Slidell Memorial Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1988).

NPPES Registry Identity

NPI1821096181
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES M HOUSERCredential: MD
Location Address64301 HWY 434Lacombe, LA 70445
Mailing Address64301 Hwy 434Lacombe, LA 70445 · (985) 882-4500 · Fax (985) 882-4501
Phone(985) 882-4500
Fax(985) 882-4501
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1988
Enumeration DateJuly 12, 2005
Last NPPES UpdateMarch 28, 2012
✔ NPI 1821096181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in LA · 019897
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
64301 HWY 434, Lacombe, LA 70445
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Other Identifiers 3

Medicaid1972428LA
Medicare PIN5H056LA
Medicare UPINF16483

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

James M Houser 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 ID5294763363
PECOS Enrollment IDI20050729000820
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 10

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
8,155 services11 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.
338 services207 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.
121 services121 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services58 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
51 services32 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
41 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Sterling Surgical Hospital

Acute Care Hospitals · Slidell, LA
OwnershipProprietary
CMS Certification Number190256
Location989 Robert BlvdSlidell, LA 70458 · St. Tammany County

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
$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.

56.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality38.18
Promoting Interoperability69
Improvement Activities40

Reported Quality Measures

Advance Care Plan
1%688 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%362 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
41%229 patients2/55-star benchmark: 87%
Dementia: Cognitive Assessment
0%57 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%61 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,108 patients4/55-star benchmark: 100%
e-Prescribing
98%763 patients4/55-star benchmark: 100%
HIV Screening
4%655 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
7%1,301 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,086 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 4% · 634 patients
4%634 patients
Provide Patients Electronic Access to Their Health Information
28%510 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 679 patients
Patients totalRate: 13% · 700 patients
6%700 patients4/55-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.

Other Providers at the Same Location NPPES 4

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

REX S HOUSER MD
Psychiatry & Neurology (Neurology)
64301 HWY 434
LACOMBE, LA 70445
St. Tammany Parish (985) 882-4500
DR. PATRICK JOSEPH GLYNN M.D.
Psychiatry & Neurology (Neurology)
64301 HWY 434
LACOMBE, LA 70445
St. Tammany Parish (985) 882-4500
THOMAS A KREFFT MD
Psychiatry & Neurology (Neurology)
64301 HWY 434
LACOMBE, LA 70445
St. Tammany Parish (985) 882-4500
MICHAEL J BECKER MD
Psychiatry & Neurology (Neurology)
64301 HWY 434
LACOMBE, LA 70445
St. Tammany Parish (985) 882-4500

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 James Houser's NPI number?

The NPI number for James Houser is 1821096181. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is James Houser located?

James Houser practices at 64301 Hwy 434, Lacombe, LA 70445. The listed phone number is (985) 882-4500.

What is James Houser's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Houser enrolled in Medicare?

Yes. James Houser 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 James Houser accept?

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

According to CMS data, James Houser is affiliated with Slidell Memorial Hospital, St Tammany Parish Hospital and Sterling Surgical Hospital.

When was this NPI record last updated?

The NPPES record for James Houser was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.