Individual provider Active NPI

Kyle David Planchard, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Shreveport, LA
National Provider Identifier
1427549120
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD.46130 Issued in AL
Practice address
7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone
(318) 212-3610
NPI assigned
May 29, 2018
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.46130 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.46130 AL Primary

Addresses

Primary practice location

7925 Youree Dr Ste 200
Shreveport, LA 71105-5134

Mailing address

7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone (318) 212-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230606001861 AL Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 3173874088 Reassigns benefits to 1 organization
I20240904001799 LA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3173874088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Orthopedic ClinicGroup PAC ID 9436174489, 21 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

7925 Youree Dr
Suite 200
Shreveport, LA 71105-5134
Phone (318) 212-3610

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.46130ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
WK Orthopedic Clinic Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

7925 Youree Dr
Ste 200
Shreveport, LA 71105
Phone (318) 212-3610

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1427549120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055134",
            "telephone_number": "318-212-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055134",
            "telephone_number": "318-212-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANCHARD",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.46130",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.46130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.