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Active NPI 1275599557 Individual Practitioner Male Practitioner

Dr. Herbert R Plauche , MD

Orthopaedic Surgery • Covington, LA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Plauche, MD is a certified Orthopaedic Surgery practicing in Covington, LA. With approximately 32 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1994, Dr. Plauche delivers high-quality medical care to the local community at 19343 SUNSHINE AVE.

Dr. Plauche is affiliated with Lmg Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

19343 Sunshine Ave

Covington, LA 704338834

Telephone 9858925117
Fax 9858925128
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Covington, LA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +8.2 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Covington, LA (364 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plauche (32 Years) 32 Yrs
Covington Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
24,181 199 $0.25 $0.13
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
1,176 18 $75.00 $17.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
657 337 $320.00 $113.97
20610 Aspiration and/or injection of fluid from large joint
389 230 $291.13 $61.93
73560 X-ray of knee, 1-2 views
305 227 $94.00 $28.87
73565 X-ray of both knees while standing
257 225 $108.00 $33.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
143 143 $500.00 $148.00
73030 X-ray of shoulder, minimum of 2 views
138 104 $95.00 $29.40
73010 X-ray of shoulder blade
137 103 $98.00 $20.34
J1040 Injection, methylprednisolone acetate, 80 mg
104 77 $20.00 $9.66
73501 X-ray of hip with pelvis, 1 view
90 73 $85.00 $28.06
99213 Established patient office or other outpatient visit, typically 15 minutes
73 52 $215.00 $81.79
73130 X-ray of hand, minimum of 3 views
44 32 $99.00 $31.20
20600 Aspiration and/or injection of fluid from small joint
37 26 $198.65 $42.96
99442 Telephone medical discussion with physician, 11-20 minutes
28 28 $80.00 $76.35
72110 X-ray of lower and sacral spine, minimum of 4 views
28 27 $150.00 $44.48
73630 X-ray of foot, minimum of 3 views
25 15 $95.00 $27.12
73110 X-ray of wrist, minimum of 3 views
25 21 $115.00 $33.95
73610 X-ray of ankle, minimum of 3 views
24 13 $102.00 $30.14
20605 Aspiration and/or injection of medium joint or joint capsule
20 16 $200.00 $39.53
J1020 Injection, methylprednisolone acetate, 20 mg
17 17 $11.00 $6.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 15 $430.00 $162.88
73080 X-ray of elbow, minimum of 3 views
14 13 $102.00 $28.46
72050 X-ray of upper spine, 4 or 5 views
14 14 $145.00 $46.11

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License LA 022170

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1492647 (LA)

Hospital & Practice Group Affiliations

Lmg Llc

4633 Wichers Dr, Marrero, LA 700723096

Phone: 5043475421

Lmg Llc

19343 Sunshine Ave, Covington, LA 704338834

Phone: 9858925117

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Jessica Carlson , NP

Nurse Practitioner - Adult Health

NPI 1043563638

Nurse Practitioner

Dr. Daniel Sinclair , MD

Orthopaedic Surgery

NPI 1205895885

Doctor of Medicine (M.D.)

Tracey Schlink

Specialist/Technologist - Athletic Trainer

NPI 1225620206
Dr. Joseph Bonvillain , MD

Orthopaedic Surgery

NPI 1346567146

Doctor of Medicine (M.D.)

Dr. Charles Schumacher , MD

Orthopaedic Surgery

NPI 1447544465

Doctor of Medicine (M.D.)

Dr. Kevin Darr , MD

Orthopaedic Surgery

NPI 1477512135

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2009

Registered at 19343 SUNSHINE AVE, COVINGTON, LA 704338834 (Tel: 9858925117)

📍
Updated Business Mailing Address June 29, 2009

Registered at 19343 SUNSHINE AVE, COVINGTON, LA 704338834 (Tel: 9858925117)

👤
Provider Name / Credentials Updated June 29, 2009

Recorded as HERBERT PLAUCHE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2009

Orthopaedic Surgery (License #022170 in LA)

🟢
Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275599557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: June 29, 2009
Sole Proprietor: No

Mailing Address

19343 Sunshine Ave

Covington, LA 704338834

Phone: 9858925117

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.