Individual provider Active NPI

Christopher Raymond Hubbell, M.D.

  • Dermatology Physician
  • Lafayette, LA
National Provider Identifier
1720030091
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
019067 Issued in LA
Practice address
309 Settlers Trace Blvd
Suite 100
Lafayette, LA 70508
Phone
(337) 981-6065
Fax
(337) 981-6066
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 019067 LA
Procedural Dermatology Physician 207NS0135X 019067 LA
Dermatology Physician 207N00000X 019067 LA Primary

Addresses

Primary practice location

309 Settlers Trace Blvd
Suite 100
Lafayette, LA 70508

Mailing address

309 Settlers Trace Blvd
Suite 100
Lafayette, LA 70508
Phone (337) 981-6065

Other identifiers 1

IdentifierTypeStateIssuer
136891MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chubbell@directaddress.net Direct

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
I20070111000255 LA Practitioner - Dermatology 1052311453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

309 Settlers Trace Blvd
Suite 100
Lafayette, LA 70508-6061
Phone (337) 981-6065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
85.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2486
Skin biopsy852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019067LAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hubbell Dermatology and Aesthetics a Professional Medical Corporation CurrentSince Jun 1, 2006 Accepting new patients
Calais Dermatology Associates Dermatology Past Accepting new patients
Pediatric Eye Care Center LLC PastSince Aug 1, 2009 Accepting new patients

Locations

309 Settlers Trace Blvd
#100
Lafayette, LA 70508
Phone (337) 981-6065

913 S College Rd
Ste 216
Lafayette, LA 70503
Phone (337) 981-6065

Organizations & group practices 3

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 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1720030091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SETTLERS TRACE BLVD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-981-6065",
            "fax_number": "337-981-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SETTLERS TRACE BLVD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-981-6065",
            "fax_number": "337-981-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "LA",
            "license": "019067",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "019067",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "019067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136891",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chubbell@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "309 Settlers Trace Blvd",
            "address_2": "Suite 100",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.