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CHARLES R DUCOMBS M.D.
NPI 1891765954
Internal Medicine in Hammond, LA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
15813 PAUL VEGA MD DR STE 300, HAMMOND, LA 70403(985) 230-7675(985) 230-7677 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles R Ducombs M.d. NPPES

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

CHARLES R DUCOMBS M.D. (NPI 1891765954) is an individual internal medicine provider in Hammond, Louisiana, licensed in Louisiana (15549R) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1998).

NPPES Registry Identity

NPI1891765954
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES R DUCOMBSCredential: M.D.
Location Address15813 PAUL VEGA MD DR STE 300Hammond, LA 70403-1431
Mailing AddressPo Box 3087Hammond, LA 70404-3087 · (985) 230-3653 · Fax (985) 370-7409
Phone(985) 230-7675
Fax(985) 230-7677
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1998
Enumeration DateJanuary 23, 2006
Last NPPES UpdateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1891765954 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 · 15549R
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.
15813 PAUL VEGA MD DR STE 300, Hammond, LA 70403
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Other Identifiers 1

Medicaid1476447LA

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

Charles R Ducombs 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 ID3274587266
PECOS Enrollment IDI20050311000904
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 6

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.
446 services272 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.
172 services111 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.
145 services108 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.
36 services36 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
33 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%33 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 4

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
15 suppliers46 claims128 services$6.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers19 claims34 services$1.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$91.50 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 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 5

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

SUSAN ZACHARIA M.D.
Internal Medicine
15813 PAUL VEGA MD DR STE 300
HAMMOND, LA 70403
Tangipahoa Parish (985) 230-7675
DR. ABIR ABDO M.D.
Internal Medicine (Geriatric Medicine)
15813 PAUL VEGA MD DR STE 300
HAMMOND, LA 70403
Tangipahoa Parish (985) 230-7675
JACQUES C PELTIER M.D.
Otolaryngology
15813 PAUL VEGA MD DR STE 300
HAMMOND, LA 70403
Tangipahoa Parish (985) 230-2630
DR. WILLIAM G PLUNKETT MD
Internal Medicine
15813 PAUL VEGA MD DR STE 300
HAMMOND, LA 70403
Tangipahoa Parish (985) 230-7675
MRS. COURTNEY VIOLA REID FNP
Nurse Practitioner (Family)
15813 PAUL VEGA MD DR STE 300
HAMMOND, LA 70403
Tangipahoa Parish (985) 230-7675

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 Charles Ducombs's NPI number?

The NPI number for Charles Ducombs is 1891765954. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Charles Ducombs located?

Charles Ducombs practices at 15813 Paul Vega MD Dr Ste 300, Hammond, LA 70403. The listed phone number is (985) 230-7675.

What is Charles Ducombs's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Ducombs enrolled in Medicare?

Yes. Charles Ducombs 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 Charles Ducombs accept?

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

According to CMS data, Charles Ducombs is affiliated with North Oaks Medical Center and Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Ducombs was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.