Individual provider Active NPI

Thomas A. Planchard, M.D.

  • Ophthalmology Physician
  • Bossier City, LA
National Provider Identifier
1104818905
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
013159 Issued in LA
Practice address
2400 Hospital Dr
Suite 100
Bossier City, LA 71111-2385
Phone
(318) 212-7860
Fax
(318) 212-7865
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 013159 LA Primary

Addresses

Primary practice location

2400 Hospital Dr
Suite 100
Bossier City, LA 71111-2385

Mailing address

2400 Hospital Dr
Suite 100
Bossier City, LA 71111-2385
Phone (318) 212-7860

Other identifiers 1

IdentifierTypeStateIssuer
1302406MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000072 LA Practitioner - Ophthalmology 5496858367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 Hospital Dr
Suite 100
Bossier City, LA 71111-2386
Phone (318) 212-7860

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score
20.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013159LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Optical, Inc. CurrentSince Sep 3, 1996 Accepting new patients
Planchard Eye & Laser Center, L.L.C. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients

Locations

2400 Hospital Dr
Ste 100
Bossier City, LA 71111
Phone (318) 212-7860

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1104818905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-212-7860",
            "fax_number": "318-212-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-212-7860",
            "fax_number": "318-212-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANCHARD",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "013159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302406",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.