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DR. KELLY MARIE FUQUA M.D.
NPI 1861667297
Family Medicine in Sulphur, LA

Active since April 27, 2008PECOS EnrolledAccepts Medicare Assignment
920 1ST AVE, SULPHUR, LA 70663(337) 527-7034 Get Directions Write a Review

NPPES record last updated: October 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Marie Fuqua M.d. NPPES

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

DR. KELLY MARIE FUQUA M.D. (NPI 1861667297) is an individual family medicine provider in Sulphur, Louisiana, licensed in Louisiana (200962) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2005).

NPPES Registry Identity

NPI1861667297
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY MARIE FUQUACredential: M.D.
Location Address920 1ST AVESulphur, LA 70663-3425
Mailing Address3659 W Weatherby DrSulphur, LA 70665-8719
Phone(337) 527-7034
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2005
Enumeration DateApril 27, 2008
Last NPPES UpdateOctober 13, 2012
✔ NPI 1861667297 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 · 200962
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.
920 1ST AVE, Sulphur, LA 70663
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Other Identifiers 1

Medicaid1072907LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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. Kelly Marie Fuqua 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 ID143371419
PECOS Enrollment IDI20090626000010
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 8

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 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.
236 services142 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.
203 services203 patients
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.
135 services94 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.
41 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services12 patients

Hospital Affiliations CMS Care Compare 4

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

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190013
Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County
Emergency services Birthing friendly

Christus Ochsner St Patrick Hospital

Acute Care Hospitals · Lake Charles, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190027
Location524 Dr Michael Debakey DriveLake Charles, LA 70601 · Calcasieu County
Emergency services

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Dequincy Memorial Hospital

Critical Access Hospitals · Dequincy, LA
OwnershipProprietary
CMS Certification Number191307
Location110 West 4th StreetDequincy, LA 70633 · Calcasieu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70663 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 3

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
10 suppliers40 claims92 services$5.65 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$20.07 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
4 suppliers14 claims14 services$206.67 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.

CALCASIEU FAMILY PHYSICIANS, APMC
Family Medicine
920 1ST AVE
SULPHUR, LA 70663
Calcasieu Parish (337) 527-6530
GRIMBALL & RICHERT CLINIC
Family Medicine
920 1ST AVE
SULPHUR, LA 70663
Calcasieu Parish (337) 527-6301
DR. ROGER G GRIMBALL MD
Family Medicine
920 1ST AVE
SULPHUR, LA 70663
Calcasieu Parish (337) 527-6301
DR. JASON BRIAN FUQUA M.D.
Family Medicine
920 1ST AVE
SULPHUR, LA 70663
Calcasieu Parish (337) 528-7472
DR. YAZAN ALI ALQARA MD
Internal Medicine
920 1ST AVE
SULPHUR, LA 70663
Calcasieu Parish (504) 339-4449
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Clinic/Center
920 1ST AVE
SULPHUR, LA 70663
Calcasieu Parish (337) 528-7472

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 Kelly Fuqua's NPI number?

The NPI number for Kelly Fuqua is 1861667297. It was assigned to this individual provider in the NPPES registry on April 27, 2008.

Where is Kelly Fuqua located?

Kelly Fuqua practices at 920 1st Ave, Sulphur, LA 70663. The listed phone number is (337) 527-7034.

What is Kelly Fuqua's specialty?

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

Is Kelly Fuqua enrolled in Medicare?

Yes. Kelly Fuqua 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 Kelly Fuqua accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kelly Fuqua 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 Kelly Fuqua affiliated with any hospitals?

According to CMS data, Kelly Fuqua is affiliated with West Calcasieu Cameron Hospital, Christus Ochsner St Patrick Hospital, Lake Charles Memorial Hospital and Dequincy Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Fuqua was last updated on October 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.