Deactivated NPI 1073508016 Deactivated / Inactive NPI Male Practitioner

Dr. Brett A. Koder , MD

Specialist • Shreveport, LA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brett Koder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2005

NPI Deactivation Date April 17, 2025

Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Brett Koder, MD was a registered Specialist practicing in Shreveport, LA. Throughout an active medical career spanning 20 years, Dr. Koder provided care at the practice location at 7847 YOUREE DR until profile deactivation on 2025-04-17.

Historical Medicare Part B clinical services included established patient outpatient office visit, professional service for multiple injections of allergen, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7847 Youree Dr

Shreveport, LA 711055505

Telephone 3182123960

Fax 3182123907

Associated Practice Facility / Clinic

🏢 Wk Pierremont Ent Facility NPI 1659316727

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Shreveport, LA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 42.8 Yrs

State Avg: 37.4 Yrs

Regional Practice Density

45 Specialists

Practicing in Shreveport, LA (641 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	131	$203.00	$118.02
95117 Professional service for multiple injections of allergen	189	12	$37.00	$10.70
99213 Established patient office or other outpatient visit, typically 15 minutes	153	133	$140.00	$84.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$310.00	$154.39
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	50	49	$110.00	$47.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	36	$84.00	$52.00
69210 Removal of impacted ear wax	40	34	$105.00	$43.63
31575 Diagnostic exam of voice box using a flexible endoscope	34	31	$261.00	$115.93
69200 Removal of foreign body from ear canal	26	16	$175.00	$75.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$202.00	$103.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	504	12	$12.00	$3.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	145	$203.00	$120.45
99213 Established patient office or other outpatient visit, typically 15 minutes	147	128	$140.00	$85.61
95117 Professional service for multiple injections of allergen	146	11	$37.00	$10.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$310.00	$156.85
95024 Injection of allergenic extracts into skin for immediate reaction analysis	80	11	$18.00	$7.23
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	65	62	$110.00	$50.18
69210 Removal of impacted ear wax	47	42	$105.00	$44.30
31575 Diagnostic exam of voice box using a flexible endoscope	30	26	$261.00	$118.52
69200 Removal of foreign body from ear canal	26	17	$175.00	$79.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$84.00	$53.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	147	$203.00	$121.40
99213 Established patient office or other outpatient visit, typically 15 minutes	130	109	$140.00	$86.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$310.00	$162.51
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	49	47	$110.00	$50.33
69210 Removal of impacted ear wax	34	31	$105.00	$46.16
31575 Diagnostic exam of voice box using a flexible endoscope	23	22	$261.00	$116.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$84.00	$54.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	155	$203.00	$123.05
99213 Established patient office or other outpatient visit, typically 15 minutes	131	113	$140.00	$88.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$310.00	$163.96
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	68	66	$110.00	$48.84
31575 Diagnostic exam of voice box using a flexible endoscope	51	37	$261.00	$121.89
69200 Removal of foreign body from ear canal	25	15	$175.00	$80.17
69210 Removal of impacted ear wax	18	17	$105.00	$45.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	181	$203.05	$104.20
99213 Established patient office or other outpatient visit, typically 15 minutes	129	109	$140.00	$72.92
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$142.00	$73.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$202.18	$102.98
31575 Diagnostic exam of voice box using a flexible endoscope	62	41	$260.65	$116.50
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	54	53	$110.00	$49.62
69210 Removal of impacted ear wax	30	26	$105.00	$47.49
69200 Removal of foreign body from ear canal	26	14	$175.00	$86.52
31231 Diagnostic examination of nasal passages using an endoscope	16	13	$405.00	$173.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	184	$204.72	$102.55
95024 Injection of allergenic extracts into skin for immediate reaction analysis	212	11	$17.00	$7.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	184	184	$204.87	$103.98
99213 Established patient office or other outpatient visit, typically 15 minutes	140	123	$139.86	$70.16
31575 Diagnostic exam of voice box using a flexible endoscope	105	71	$249.40	$109.28
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	62	61	$109.40	$46.91
69210 Removal of impacted ear wax	45	36	$104.18	$44.01
31231 Diagnostic examination of nasal passages using an endoscope	40	18	$424.43	$187.95
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$144.00	$73.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	190	$201.11	$101.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	211	211	$203.10	$102.93
99213 Established patient office or other outpatient visit, typically 15 minutes	140	118	$136.16	$69.18
31575 Diagnostic exam of voice box using a flexible endoscope	86	59	$241.90	$102.45
69210 Removal of impacted ear wax	82	74	$106.20	$44.64
31231 Diagnostic examination of nasal passages using an endoscope	45	17	$441.13	$193.48
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	26	26	$114.00	$49.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	16	$139.89	$71.46
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$71.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	345	12	$14.00	$5.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	187	$202.00	$101.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	222	222	$204.07	$102.15
99213 Established patient office or other outpatient visit, typically 15 minutes	136	109	$137.00	$68.00
69210 Removal of impacted ear wax	90	81	$108.00	$45.29
31575 Diagnostic exam of voice box using a flexible endoscope	89	65	$248.00	$104.64
31231 Diagnostic examination of nasal passages using an endoscope	30	14	$443.00	$191.78
69200 Removal of foreign body from ear canal	19	15	$216.00	$74.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$139.00	$70.44

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 96-00594

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Shannon Mccole , AuD

Audiologist

NPI 1215663117

Doctor of Audiology

Mark Knackstedt

Otolaryngology

NPI 1285203521

Landri Hardcastle

Physician Assistant

NPI 1326826629

Dr. Mallory Stovall , AuD

Audiologist

NPI 1518594035

Doctor of Audiology

Dr. Andrea Dean , AuD

Audiologist

NPI 1609189554

Doctor of Audiology

Dr. Jason Calligas , MD

Otolaryngology

NPI 1700102449

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

⚠️

NPI Profile Deactivated April 17, 2025

Record deactivated on April 17, 2025

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2025

Otolaryngology (License #MD.017292 in LA)

✅

NPI Profile Active August 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2013

Registered at 7847 YOUREE DR, SHREVEPORT, LA 711055505 (Tel: 3182123960)

📍

Updated Business Mailing Address August 12, 2013

Registered at 7847 YOUREE DR, SHREVEPORT, LA 711055505 (Tel: 3182123960)

👤

Provider Name / Credentials Updated August 12, 2013

Recorded as BRETT KODER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2013

Specialist (License #96-00594 in NC)

🟢

Initial NPI Registration & Enumeration September 15, 2005

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: 1073508016

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 15, 2005

Last Update: August 12, 2013

Deactivation Date: April 17, 2025

Update or Correct Profile

Mailing Address

7847 Youree Dr

Shreveport, LA 711055505

Phone: 3182123960

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.